Synopsis: The Juvenile Justice Program sub-grants funds to local units of government and private agencies for programs including: removing juveniles from adult jails; de-institutionalizing status offenders; reducing the disproportionate incarceration of minority offenders; specialized programs for Native American youth; enforcing underage drinking laws; and community-based delinquency prevention programs. This budget account supports the Social Services Chief who performs compliance and monitoring of jails and lockups; provides legislative support on juvenile justice bills; serves as Nevada's Juvenile Justice Specialist; supports the Juvenile Justice Commission; prepares monitoring and performance reports for the various grant programs including Grants Management System reporting on the Office of Juvenile Justice and Delinquency Prevention web site; and implements contracts. Statutory Authority: NRS Chapter 62 and the Federal Juvenile Justice Act.

Synopsis: The Office of the Nevada State Public Defender provides equal protection under the law in accordance with the United States Constitution and Nevada Constitution by representing indigent adults and juveniles accused of committing crimes in certain rural areas of Nevada or in one of Nevada's prisons. This representation is performed from arrest through trial, sentencing, and appeal. In addition to representing indigent adults and juveniles, the office handles appeals for denial of post-conviction habeas corpus petitions for state prison inmates accused of a crime. Statutory Authority: NRS Chapters 180 and 260.

Synopsis: The Distributive School Account (DSA) provides direct state financial aid to school districts and charter schools for K-12 public education in Nevada. The funding formula, identified by NRS 387.121 as the "Nevada Plan," provides school districts a guaranteed dollar amount of basic state support per student plus additional funds for categorical programs such as special education, class-size reduction, and reimbursement of certain student transportation costs. School districts and charter schools receive either monthly or quarterly apportionments from the DSA on the basis of student enrollment. Each school district is guaranteed a specific amount per student, which is developed through a formula that considers the demographic, economic, and wealth characteristics of the district. Allotments of licensed employees and related costs are determined from tables that recognize the differences in costs between rural and urban school districts as well as small and large districts. Transportation costs are incorporated into the allocation process. For purposes of calculating basic support, enrollment includes students enrolled in grades one through twelve, students in ungraded special education classes, and six-tenths of the count of students enrolled in kindergarten and in preschool programs for children with special needs. Special education is funded on an amount-per-unit basis as established by each session of the Legislature. Pursuant to NRS 387.1233, school districts and charter schools are partially protected from decreases in enrollment through a one-year "hold harmless" statutory provision, which guarantees a payment based on the highest enrollment in the current or prior year unless the decrease is greater than 5%, in which case the payment guarantee is based on the higher of the prior two years' enrollment. The DSA is funded by a General Fund appropriation, sales taxes on out-of-state sales, income from federal mineral land leases, interest from the Permanent School Fund, and a portion of the state taxes on slot machines. In addition to the state funds received by the school districts through the DSA, the school districts receive the 2.25% local school support sales tax that is part of the DSA guarantee; the abated $0.75 per $100 of assessed valuation property/mining tax, one-third of which is part of the DSA guarantee; governmental services taxes; franchise taxes; and various other local and federal revenues. Statutory Authority: NRS Chapter 387.

Synopsis: The Coordinated School Health Education Program to Prevent the Spread of HIV/AIDS and other Sexually Transmitted Diseases (STDs) is a federally funded program designed to assist school districts to establish, strengthen, or expand HIV/AIDS and STD prevention education. The program is used to integrate HIV/AIDS prevention education into a coordinated school health education framework for Nevada's secondary middle school and high school students. The program ended in 2014.

Synopsis: This budget account provides resources to support the certification of administrator and teacher preparation programs, professional development and high quality learning, development and support of a statewide evaluation system, and the Nevada Educator Performance Framework (NEPF). Federal dollars support high quality teachers and leaders as defined by the Elementary and Secondary Education Act, while state dollars ensure that educator preparation programs and the associated evaluation system meet the requirements of state law. The Teachers and Leaders Council and Statewide Coordinating Council for Regional Training Programs are included in this budget account. Authority: NRS 391.037 and 391.038, NRS 391.455, NRS 391.516, 20 USC 2701 et seq.

Synopsis: Pursuant to NRS 120A.610, the Educational Trust Account is funded with transfers from the Abandoned Property Trust Account in the State General Fund. The proceeds are from abandoned gift certificates. The funds in the account may only be expended as authorized by the Legislature for educational purposes.

Synopsis: NRS 385.357, passed by the 19th (2003) Special Session of the Nevada State Legislature, requires all public schools in Nevada to develop plans to improve the achievement of students. The plans are to identify problem areas that need to be addressed as well as strategies to be used to help students be successful. Statutory Authority: NRS 387.031 and 385.357.

Synopsis: NRS 391.166 creates the Grant Fund for Incentives for Licensed Educational Personnel to be administered by the department. The Board of Trustees of each school district in Nevada is required to establish a program of incentive pay for licensed teachers, school psychologists, school librarians, school counselors, and administrators employed at the school level which are designed to attract and retain those employees. This budget contains the funding for remaining provisions of the 1/5th retirement credit purchase program (previously NRS 391.165). Personnel participating in the 1/5th purchase program in fiscal year 2007 could elect to continue until they had received five 1/5th credit purchases at which time they would be eligible to participate in the incentive program mentioned above.

Synopsis: The 2009 Initiative Petition 1 (IP1) provided Room Tax revenue from the State Supplemental School Support Fund to the General Fund as a State funding source to be distributed to the school districts. The source of funds is the 3% tax on rental transient lodging specified in the legislation. The funds were temporarily diverted to the Distributive School Account beginning July 1, 2011 with a scheduled "sunset" date of June 30, 2015. Statutory Authority: NRS 387.191, Senate Bill 522 of the 77th (2013) Regular Session

Synopsis: This program provides funding, as recommended by the Statewide Coordinating Council for Regional Training Programs, to the three regional programs established by NRS 391.512 and charged with the professional development of teachers and administrators. Money is distributed to each program's fiscal agent, a local school district in the region served. Statutory Authority: NRS 391.512-NRS 391.556

Synopsis: The Commission on Postsecondary Education is responsible for licensing and inspecting privately owned postsecondary educational institutions and for resolving student complaints. The commission authorizes academic and non-academic programs leading to degrees or vocational objectives offered by the postsecondary educational institutions. Staff licenses agents representing in-state and out-of-state private schools in Nevada and approves public and private postsecondary institutions for training programs supported by the U.S. Department of Veterans Affairs. The commission approves training programs for alcohol awareness. Statutory Authority: NRS 394.

Synopsis: The Office of the Superintendent is responsible for the administration of the provisions of law relating to the jurisdiction, duties, and functions of the three divisions of the Department: Business and Support Services, Educator Effectiveness and Family Engagement, Student Achievement. The office approves goals and performance measures for the department; oversees the carrying out of statutory responsibilities; establishes uniform policies and procedures; approves division budgets, legislative proposals, contracts, agreements, and provides oversight of the staff development functions to encourage the achievement of the department's performance measures and goals. Statutory Authority: NRS 385.010 and 385.175.

Synopsis: The department must establish standards of academic content and performance, prescribe courses of study. Department staff coordinates the monitoring and technical support of school district and regional training program implementation of standards through the approval of textbooks and other instructional support measures. Statutory Authority: NRS 389.0185, NRS 389.520, NRS 390.140

Synopsis: The Department of Education administers occupational education programs that meet the requirements of the Nevada State Plan for Career and Technical Education (CTE). The plan is based on the needs of students within the state and serves as the application for the federal Carl D. Perkins Vocational and Technical Education Act funds. The primary mission of the federal program is to improve occupational education programs, focusing on the improvement and development of programs meeting the state criteria that defines high-wage, high-skill programs. Revenue received through the Carl D. Perkins Basic Grants to States has funding set-a-sides including 5% or $250,000, whichever is greater, for state administration; 10% for statewide leadership; and 85% for basic grant aid to school districts and community colleges. Federal funds administration must be matched by state funds. In addition, the maintenance of effort provision requires the state to maintain funding at least at prior year levels. Authority: NRS 388.340(2a), 388.360(3) and the Carl D. Perkins Vocational and Technical Education Act of 1998, as amended.

Synopsis: The GEAR UP grant is a collaborative effort of the Nevada Office of the Governor, Nevada State Treasurer, Nevada System of Higher Education, Nevada Department of Education, Wells Fargo Bank, AT&T, ACT, and other stakeholders including parents, students, educators, business and agency representatives. Nevada's vision is to change the culture of low achieving students who are economically disadvantaged so they are prepared academically and have the resources to attend and succeed in college. GEAR UP program resources support the following goals: improve academic achievement and increase high school proficiency exam scores; decrease high school dropout rate; increase high school graduation rate; and increase enrollment in college preparation coursework.

Synopsis: The Continuing Education account is funded through the federal Adult Education and Family Literacy Act. The purpose of the act is to provide adult basic education (ABE) and English as a Second Language (ESL) services in order to assist adults to become literate and obtain the knowledge and skills necessary for employment and self-sufficiency; to assist adults in the completion of secondary school education; and to assist adults who are parents to obtain the educational skills necessary to become full partners in the education of their children. Funds are granted to eligible educational and community-based organizations on a competitive basis to carry out the purpose of the act. Students enrolled in the programs must be over 18 years of age, must not have a high school diploma or its equivalent, and must be withdrawn from high school and not required to be in a school. A federally required 25% match is partially met by state funding for instruction; the local instructional programs contribute the balance of the match. Authority: P.L. 105-220. Workforce Investment Act, Title II, Adult Education and Family Literacy Act; NRS 387.1233

Synopsis: The Nevada Western Interstate Commission for Higher Education (WICHE) carries out the goals, objectives, and programs of the Western Interstate Commission for Higher Education's multi-state regional compact, and shares resources for Nevada's higher educational institutions and safety net providers to offer educational, financial, and health care assistance to Nevada citizens. WICHE enhances workforce and economic development by providing the state highly-trained, qualified professionals in diversified areas of established need.

Synopsis: The establishment and administration of state assessments is one of the principal functions of the department. Information from assessments is used to improve the instruction of pupils, but also to prepare federal and state accountability reports. The budget includes federal and state support of the assessment and accountability functions, including staff, vendors, and associated costs. Statutory Authority: NRS Chapter 389, NRS 395.3455 et seq.

Synopsis: This budget is designed to accommodate small grants and/or programs funded by the state, other entities or individuals specifically for pass-through to school districts and/or charter schools. In addition, the budget account contains a majority of the special or categorical appropriations received through the Legislative process for pass-through to school districts and charter schools.

Synopsis: The Educator Licensure budget includes the Commission on Professional Standards in Education, which consists of nine members appointed by the Governor. The Commission is charged with the adoption of regulations and standards which are implemented by the department. Licensure staff in Las Vegas and Carson City are responsible for determining eligibility, approving and issuing licenses for administrators, teachers and other educational personnel. Funding is included in this account for the maintenance and continual improvements of the Competency Testing Program for Educational Personnel. Statutory Authority: NRS 391 and NRS 385.

Synopsis: NRS 385.630 establishes the Office of Parental Involvement and Family Engagement in the department; NRS 385.610 establishes the Advisory Council on Parental Involvement and Family Engagement. This account provides for professional development, review and monitoring of district reports and plans, as methods of effective communication.

Synopsis: The State Public Charter School Authority provides loans at or below market rate to charter schools for the costs incurred in preparing a charter school to commence its first year of operations, and to improve the operations of existing charter schools. The lack of low cost financing, or other capital, to support the operations of new and existing charter schools presents a significant hurdle to expanding and improving the quality of Nevada's charter schools. Statutory Authority: NRS 386.577.

Synopsis: This office manages and administers programs for at-risk children who are ready for kindergarten. In addition to these funds, this office now administers federal Head Start and certain Child Care Development Fund programs. This office distributes and monitors grants and related programs focused on the quality of and access to pre-school programs. Authority: 42 USC 9801 et seq. and 9858, et seq., Executive Order #2013-16

Synopsis: The State Public Charter School Authority was created by Senate Bill 212 of the 2011 Legislative Session. Senate Bill 212 authorizes the formation of charter schools and provides provisions for the oversight of those schools. Statutory Authority: NRS 386.490-386.649.

Synopsis: The federal Elementary and Secondary Education Act (ESEA) provides support for students and schools deemed at risk, students who live in poverty, migrants, to Native Americans and English Language Learners. The department distributes federal ESEA or "title" funds and monitors compliance with federal requirements. The state supplements efforts for school improvement and to ensure the provision of a safe and respectful school environment through staff, vendors, and programs assigned to this budget account. Authority: 20 USC 2701 et seq., NRS 388.132

Synopsis: Literacy and proficiency in English language arts are key components of public education standards and expectations for all students. This account receives federal dollars for literacy programs and includes staff, programs, and related costs to improve reading proficiency. Authority: NRS Chapter 389 generally; US FY2005 Appropriations Act under Title I, 42 USC 2701, et seq.

Synopsis: The Individuals with Disabilities Education Act (IDEA) provides funding to states through the US Department of Education. Several federal grants are combined in this budget account, which are designed to improve student performance on statewide assessments including alternate assessments; transition from early intervention programs; behavioral success; graduation and drop-out rates; post-secondary outcomes; and recruitment and retention of highly qualified special education personnel. Nevada provides additional funding for students with disabilities through a special education program unit funding allocation model. Authority: PL106-448, NRS 388.440 et seq., and NRS 387.1221.

Synopsis: The department maintains an automated system of accountability information to provide and report information, make longitudinal comparisons and analyses, and assist in the improvement of student achievement, classroom instruction and educator performance. This budget includes funding for staff, vendor services, data system operations and all system hardware and software. Statutory Authority: NRS 386.650

Synopsis: This budget account is designed to fund staff and operating expenditures for the allocation of state and federal funds to the school districts, including those relating to the Distributive School Account, class-size reduction, full-day kindergarten, and special education. In addition, this budget account includes support for state and federal grant monitoring functions, as well as state auditing functions.

Synopsis: This budget account funds staff and operating expenditures to oversee the development and monitoring of budget accounts that support the department and its programs. In addition, all finance-related duties, including personnel and payroll functions, are supported through this budget account. Finally, staff and operating expenditures for the provision of information technology services to department staff are maintained through this account.

Synopsis: The Special Project appropriation contains programs not directly related to any of the other Nevada System of Higher Education appropriations. Currently, the only program in Special Projects is the Experimental Program to Stimulate Competitive Research (EPSCoR). It started in 1979 at the National Science Foundation (NSF) when five states received planning grants to develop strategies to build their research infrastructures. The goal of EPSCoR is to stimulate sustainable improvements in the quality of academic science and technology infrastructure of eligible states.

Synopsis: The 1995 Legislative session, created the Trust Account for the Education of Dependent Children of Public Safety Officers who were killed in the line of duty. The fund shall pay all registration fees, laboratory fees and expenses for required textbooks and course material assessed against or incurred by the dependent child under the age of twenty-three. A Public Safety Officer is a person serving a public agency in an official capacity, with or without compensation, as a peace officer, a firefighter or a member of a rescue or emergency medical services crew. The Board of Regents administers the account. Statutory Authority: NRS 396.545.

Synopsis: Founded in 1874 as Nevada's land-grant university, the University of Nevada, Reno is driven to contribute a culture of student success, world-improving research and outreach that enhances communities and business. The University is organized into Colleges of Agriculture, Biotechnology, and Natural Resources; Business; Education; Engineering; Liberal Arts and Science. It also includes the Reynolds School of Journalism and the Division of Health Sciences which encompasses the University of Nevada School of Medicine, School of Community Health Sciences, School of Social Work, and Orvis School of Nursing. Through the University of Nevada Cooperative Extension, Nevada Small Business Development Centers and the University of Nevada School of Medicine, the University extends outreach and education to all Nevada counties.

Synopsis: The University of Nevada School of Medicine is currently the only public medical school in the State of Nevada. It is fully-accredited to provide a four-year instructional program in all biomedical and clinical sciences necessary for granting the Doctor of Medicine degree. The school is based in Reno for biomedical research, basic science instruction and early clinical skills training, with a majority of clinical teaching in the third and fourth years occurring in medical offices and hospitals in Las Vegas.

Synopsis: The University of Nevada, Reno Intercollegiate Athletics program is a member of the Mountain West Conference. The university fields teams in Football, Baseball, Men's and Women's Basketball, Golf, Tennis and Rifle, and Women's Softball, Soccer, Swimming and Diving, Volleyball and Track and Cross Country. There are nearly 400 student-athletes competing in the various intercollegiate sports sponsored by the university.

Synopsis: The specialty centers within the University of Nevada, Reno provide a wide variety of research and public service functions in the areas of science, business, the environment, and information technology support. Activities specifically funded include the Nevada Bureau of Mines and Geology, Nevada Seismology Laboratory, State Climatologist, Laboratory Animal Medicine, Basic Research Chemistry, Whittell Forest Research, Latino Research Center, KUNR Radio, Nevada Small Business Development Center, Nevada Industrial Excellence, Academy for the Environment, Vice President for Health Sciences, Information Technology, and the Office of Prospective Students.

Synopsis: The Board of Regents is established by the Nevada Constitution and statutorily endowed with the powers to provide direction and governance for all activities of the Nevada System of Higher Education (NSHE). The Board of Regents, in conjunction with the employees of the Chancellor's Office, provides direction and coordination for the various activities of the campuses and units of the NSHE. The Chancellor's Office includes functional areas of academic affairs, budget and financial planning/programming and legal counsel. University - The mission of the universities is to provide a wide range of undergraduate and graduate. Constitutional Authority: Article 11, Section 4 and NRS 396.

Synopsis: The University of Nevada, Las Vegas is organized into the following Colleges and Schools: Allied Health Sciences, Business, Education, Engineering, Honors, Liberal Arts, Fine and Performing Arts, Hotel, Sciences, Nursing, Community Health Sciences, and Urban Affairs. Various other departments, divisions and programs including the Office of Information Technology, the Division of Student Affairs, Division of Educational Outreach, the Nevada Institute for Children's Research and Policy, the Center for Health Disparities Research, the Applied Geophysics Center, the Transportation Research Center, the Center for Disability and Applied Biomechanics, the Center for Multicultural Education, the Harry Reid Center for Environmental Studies, the International Gaming Institute, and the Black Mountain Institute, combine to address the mission of the University.

Synopsis: The Intercollegiate Athletic Program offers a variety of team and individual sports for men and women with a commitment to the development and education of the student athlete.

Synopsis: This specialty center is the organized research arm of the University of Nevada, Reno, College of Agriculture, Biotechnology, and Natural Resources.

Synopsis: Nevada Cooperative Extension's mission is to discover, develop, disseminate, preserve, and use knowledge to strengthen the social, economic, and environmental wellbeing of people.

Synopsis: Central Information Technology facilitates collaborative technology partnerships and select agencies of the State of Nevada, with an adaptable, reliable, robust and current infrastructure and core application, network and technical services to enable users to excel in their core academic, research, outreach and administrative missions.

Synopsis: The mission of the Boyd School of Law is to serve the State of Nevada and the nation by educating excellent and ethical future lawyers and leaders for our community and nation, by producing high quality legal scholarship, by participating in continuing education programs, by providing a high quality law library, by helping to meet the need for legal services through clinical programs, externships and pro bono services, and by providing a forum for the discussion of important public issues.

Synopsis: This specialty area provides funds for the Nevada System of Higher Education to administer loans granted to undergraduate and graduate students through revolving loan accounts at each campus.

Synopsis: Great Basin College (GBC) serves ten of Nevada's most rural counties with the main campus in Elko and branch campuses in Battle Mountain, Ely, Pahrump, and Winnemucca. In the fall of 1999, the college initiated a Bachelor of Arts in Elementary Education. The Bachelor of Applied Science was implemented in the fall of 2001 and the Bachelor of Integrative and Professional Studies was implemented in the spring of 2002. Currently, GBC offers seven different baccalaureate degrees and several other degree programs are under consideration. Two-year degrees offered are the Associate of Arts, Associate of Science, and Associate of General Studies. Two-year Associate of Applied Science degrees are available in business administration, computer office technology, criminal justice, diesel technology, early childhood education, electrical/instrumentation technology, industrial plant maintenance and welding technology. Distance education technology (i.e., two way interactive video and online modes) are utilized extensively to deliver programs throughout the service area. The college has residential housing for approximately 200 students.

Synopsis: The Nevada Western Interstate Commission for Higher Education (WICHE) carries out the goals and objectives as provided for in the WICHE multi-state regional compact. In keeping with its philosophy, the agency continues to minimize delinquent debt owed the state, and the collections methods have been modified. Nevada WICHE continues to expand marketing methods and enhance the profile of its programs throughout the state by placing outreach emphasis on stakeholder collaborations and incorporating new technology into its operations and procedures.

Synopsis: The University Press is organized as a public service arm of the Nevada System of Higher Education to make a contribution to the history and literature of Nevada and the Western United States, to stimulate scholarly research and writing by faculty members, and to enhance the academic reputation of the system on the national scene.

Synopsis: The specialty centers within the University of Nevada, Las Vegas provide a wide variety of research and public service functions in the areas of education, economics, the sciences, and the cultural environment of Nevada and the western United States.

Synopsis: The UNLV School of Dental Medicine (SDM) came into existence when key political, academic, and health leaders committed to addressing the state's shortage of dentists-particularly in rural areas-and the lack of oral health access for lower socioeconomic groups. The school was charged with preparing socially aware, clinically adept dentists to address oral health needs in Nevada.

Synopsis: This specialty center of the Nevada System of Higher Education provides payroll, personnel, and purchasing services for the System Administration, School of Medical Science, University of Nevada-Reno, Great Basin College, Western Nevada Community College, Truckee Meadows Community College, Desert Research Institute, Cooperative Extension Service, Agricultural Experiment Station, System Computing Center, and the University Press.

Synopsis: Business Center South is a specialty center of the Nevada System of Higher Education that provides business services for the University of Nevada-Las Vegas, Nevada State College, and related assistance to the College of Southern Nevada.

Synopsis: Nevada State College is a comprehensive baccalaureate institution of higher learning. A member college of the Nevada System of Higher Education, Nevada State College is dedicated to providing quality educational, social, cultural, economic, and civic advancement for the citizens of Nevada. Through student-centered learning, Nevada State College emphasizes and values: exceptional teaching, mentoring, advisement; scholarship; career and personal advancement; continuing education; and service to our community. The college helps address Nevada's need for increased access to higher education for students entering the higher education system and for students transferring from the state's community colleges. The college offers a wide range of baccalaureate programs and selected masters programs designed to meet the general needs of the State of Nevada and the specific needs of the southern region of the state. Special emphasis is placed on addressing the state's need for effective, highly educated and skilled teachers and nurses, and commitment is made to developing and promoting partnerships with Nevada's public school system, the state's health care providers, and Nevada's colleges and universities. The curriculum of Nevada State College will be based upon the community's needs, the needs of business and industry, and the desires and demands of the students.

Synopsis: In 1959, the Nevada State Legislature created the Desert Research Institute (DRI), as a division of the University of Nevada specifically devoted to conducting research. DRI became an autonomous division of the University and Community College System of Nevada in 1969. From its beginnings, DRI has functioned as a nonprofit research campus uniquely blending academia with entrepreneurship. Approximately 500 research faculty and support staff generate more than $35 million in research revenue each year, with approximately 85% coming from the federal government or commercial entities. Research projects and programs are supported from the main campuses in Las Vegas and Reno, with additional specialized laboratories in Boulder City, Nevada and Steamboat Springs, Colorado. DRI's environmental research programs are directed from three core divisions (Atmospheric Sciences, Earth and Ecosystem Sciences, and Hydrologic Sciences), as well as interdisciplinary science centers. Grounded in fundamental research, DRI provides both sponsors and clients with innovative solutions to pressing environmental problems, balancing the need to develop resources while sustaining the environment.

Synopsis: The College of Southern Nevada (CSN) primarily serves Clark County, Nevada. Programs leading to a bachelor's degree, associate's degree, certificate of achievement or selected skills certificates are offered in occupational, vocational, and technical areas. University parallel courses and transfer agreements provide advanced learning opportunities, developmental programs for individual learning, counseling, and guidance functions combine to address student learning needs, while our workforce and community programs address the social and economic needs of Southern Nevada.

Synopsis: Western Nevada College serves both urban and rural areas with campuses in Carson City, Minden, and Fallon. Offerings in occupational, university parallel, community service, and developmental programs as well as counseling and other student services combine to address student needs within the mission of the community college.

Synopsis: The performance funding for instructional budgets was implemented during the 2013 Session of the Nevada Legislature. The Performance Pool funding is a General Fund appropriation carve out of existing funding that started in fiscal year 2015. The General Fund appropriation carve out was set at 5% in the first year then incrementally increases by 5% each year for four fiscal years which will be capped at 20% in fiscal year 2018.

Synopsis: The University of Nevada, Las Vegas (UNLV) School of Medicine will be a separately-accredited, full-scale, four-year M.D. granting allopathic medical school. The UNLV School of Medicine is being developed in close collaboration with the University of Nevada School of Medicine in Reno. The inaugural class is anticipated to be 60 students with a long term growth plan capacity of 120 students.

Synopsis: NSHE - Graduate Medical Education

Synopsis: Truckee Meadows Community College serves primarily the Reno/Sparks area and nearby communities. Programs leading to an Associate of Arts Degree in such areas as applied science, arts, and general studies, programs emphasizing occupational education requirements, programs providing classes which transfer to university programs and programs in developmental education combined to address the mission of the community college.

Synopsis: The Radiation Control Program (RCP) protects public health and safety and the environment by regulating sources of ionizing radiation and providing general information concerning ionizing radiation sources. The RCP licenses and inspects radioactive material users; registers and inspects radiation producing machines statewide; issues certificates of authorization to operate mammography equipment and inspects mammography radiation producing machines; educates the public on radon hazards in the home and workplace; licenses and provides oversight of the closed low-level waste disposal site near Beatty, Nevada; coordinates with local counties and other agencies to provide radon training; and conducts statewide radiological emergency response activities. Statutory Authority: NRS 457 and NRS 459.

Synopsis: The Aging and Disability Services Division supports grants for existing or new programs that assist senior citizens and other specified persons with independent living. Funds are received through the Fund for a Healthy Nevada. Independent Living Grants enable older persons to remain at home and avoid institutional placement. The services provided include transportation, information assistance and advocacy, adult day care, legal assistance, homemaker, companion, respite, home repair, and caregiver support services.

Synopsis: In the 2011 Legislative Session, the funding for Washoe County Department of Social Services (WCDSS) by the division changed. Currently, WCDSS receives an annual capped block grant each year to support child welfare services. This funding de-categorized the General Fund appropriation for the purpose of child welfare integration and allows the agency to redirect child welfare funding to services not restricted by traditional definitions and funding limitations, but driven by the needs of children and families in their community. WCDSS has the ability to retain savings generated if services provided by the county cost less than the amount budgeted. This funding is contingent upon the counties meeting a minimum maintenance of effort. Specifically, the counties must maintain the amount of local funds spent for child welfare and child protective services at a level equal to or greater than the amount appropriated. In addition, within this current funding mechanism is a process to support a fiscal incentive program designed to stimulate and support improvement in key areas identified in the agency improvement plan. A second allocation is included that will estimate each biennium the cost attributed to the projected caseload growth for the adoption assistance program to ensure adoptions are continuously reinforced and each legislative session the funding can be determined based on historical adoption growth. Lastly, the agency which provides child welfare services, must submit annually an agency improvement plan and data demonstrating the progress they have made toward meeting the specific performance targets set forth in the plan. The agency improvement plan is an integral part of the Quality Unit's oversight role.

Synopsis: In the 2011 Legislative Session, the funding for Clark County Department of Family Services (CCDFS) by the division changed. Currently, CCDFS receives an annual capped block grant each year to support child welfare services. This funding de-categorized the General Fund appropriation for the purpose of child welfare integration and allows the agency to redirect child welfare funding to services not restricted by traditional definitions and funding limitations, but driven by the needs of children and families in their community. CCDFS has the ability to retain savings generated if services provided by the county cost less than the amount budgeted. This funding is contingent upon the counties meeting a minimum maintenance of effort. Specifically, the counties must maintain the amount of local funds spent for child welfare and child protective services at a level equal to or greater than the amount appropriated. In addition, within this current funding mechanism is a process to support a fiscal incentive program designed to stimulate and support improvement in key areas identified in the agency improvement plan. A second allocation is included that will estimate each biennium the cost attributed to the projected caseload growth for the adoption assistance program to ensure adoptions are continuously reinforced and each legislative session the funding can be determined based on historical adoption growth. Lastly, the agency which provides child welfare services, must submit annually an agency improvement plan and data demonstrating the progress they have made toward meeting the specific performance targets set forth in the plan. The agency improvement plan is an integral part of the Quality Unit's oversight role.

Synopsis: Information Management Services (IMS) is the unit within the Division of Child and Family Services (DCFS) that supports the technology needs of the division and the county child welfare agencies. IMS maintains two major computer applications: Unified Nevada Information Technology for Youth (UNITY) and Avatar. UNITY is the Nevada-specific acronym for the federally mandated Statewide Automated Child Welfare Information System (SACWIS). The UNITY application became fully operational statewide in September 2003. Child welfare agencies nationwide are required to submit adoption and foster care information electronically to the Administration for Children and Families as per Public Law 103-66 (Omnibus Reconciliation Act). Child protective services intake and case management has been fully automated to ensure timely and accurate communications between state and county entities. In addition, UNITY is the system of record for the Youth Parole Bureau. Avatar is the Health Insurance Portability and Accountability Act compliant case management and billing system that supports children's mental health. It has been operational since August 2005. In addition to maintaining these two applications, IMS provides helpdesk support and application training to the three Nevada child welfare agencies (DCFS, Clark County Department of Family Services and Washoe County Department of Social Services); and network, and desktop computer support for DCFS.

Synopsis: The Division of Child and Family Services (DCFS) within the Department of Health and Human Services is responsible for child protective and child welfare service delivery in rural Nevada; oversight of urban county-operated child protective and welfare services, a provider of children's mental/behavioral health treatment and residential services in urban Nevada; and statewide juvenile justice services including state-operated youth training centers and youth parole. The mission of the DCFS is to provide support and services to assist Nevada's children and families in reaching their full human potential.

Synopsis: The Youth Alternative Placement budget account was established to provide financial support to each regional facility for the detention of children who have been adjudicated delinquent by Nevada courts. There are three regional facilities; two are located in Douglas County (China Spring Youth Camp and Aurora Pines Youth Camp), and one is located in Clark County (Spring Mountain Youth Camp). The China Spring Youth Camp/Aurora Pines Girls Facility is dedicated to helping approximately forty male and sixteen female, mid-level offenders between the ages of twelve and eighteen, develop skills, knowledge and the experience necessary to promote health and resiliency, stop the progression of problems caused by delinquent behavior, and interpret and avoid high risk behavior patterns in an emotionally safe, comforting, challenging, and nurturing environment. The facility provides structure and programs to assist juvenile offenders to overcome their delinquent behavior, as well as opportunities to correct thinking errors, practice positive new social skills, and facilitate reintegration into the family and community. The Spring Mountain Youth Camp, and its community-based program, provides residential treatment for approximately 112 youth between the ages of twelve and eighteen. The programs at Spring Mountain Youth Camp provide for therapeutic, educational, social, medical, and recreational needs. Counseling and therapy are provided to the youth as needed through Clark County's psychological services. Aftercare services are provided by a team which includes probation officers and a mental health therapist who begin contact with youth prior to placement and continues through completion of probation. This program operates in cooperation with, and is supported by, local law enforcement agencies, the Clark County School District, and various state agencies. Statutory Authority: NRS 62B.150

Synopsis: Summit View Youth Correctional Center (SVYCC) was reopened in response to the recommendations made by the Statewide Commission on Juvenile Justice Reform in December 2013 after a three-year closure that was approved during the 2010 Special Legislative Session due to budget reductions. SVYCC is a maximum-security youth correctional facility with a total bed capacity of up to ninety-six beds that provide programming and services to male juvenile offenders who have been committed to DCFS for either delinquent behavior and/or to access mental health treatment. The SVYCC, Red Rock Academy program is operated through a public/private partnership with Rite of Passage. DCFS contracts for a maximum of fifty beds for Nevada youth and the remaining beds are available for out of state placements. Statutory Authority: NRS Chapter 63.

Synopsis: The mission of the Child Care Licensing program is to reduce the risk of harm to children placed in child care outside the home. To ensure the health, safety, and proper treatment of children receiving out-of-home care, the program has the responsibility for initial licensing, continued monitoring, and providing technical assistance to child care facilities caring for five or more children not licensed by local entities. Statutory authority: NRS 432A.

Synopsis: The Department of Health and Human Services Director's Office manages the various services and programs administered and operated by the department's divisions/offices within their respective subject areas. Statutory Authority: NRS 232.290-465.

Synopsis: The mission of the Aging and Disability Services Division is to ensure the provision of effective support and services to meet the needs of individuals and families, helping them lead independent, meaningful and dignified lives. This budget account serves as the primary administrative budget and houses functions related to the division operations including general administration, fiscal services, information technology, human resources, and the Elder Rights Attorney. This budget also includes some program functions including the Supportive Services Unit and the Long Term Care Ombudsman. The Supportive Services Unit is responsible for grants administration, community resource development, the Taxi Assistance Program, Senior Medicare Patrol, State Health Insurance Assistance Program and the Community Advocates for Elders Program. The Long-Term Care Ombudsman program receives, investigates, and resolves complaints made by or on behalf of residents living in long-term care facilities. Statutory Authority is contained in NRS 427A.122.

Synopsis: Low-level Radioactive Waste Maintenance Fund provides a trust fund for the Radiation Control Program to conduct required post-closure activities at the state-owned, low-level radioactive waste disposal site near Beatty, Nevada. This program assures the closed Low-Level Radioactive Waste Disposal Site is maintained professionally and safely, creating a foundation of public confidence that encourages economic development in Nevada. Statutory Authority: NRS 459.

Synopsis: The primary purpose of the Statewide Cancer Registry is to collect and maintain a record of reportable cases of cancer in the state. The data is used to evaluate the appropriateness of measures for the prevention and control of cancer and to conduct comprehensive epidemiological surveys of cancer and cancer related deaths. Statutory Authority: NRS 457.

Synopsis: The Nevada Governor's Council on Developmental Disabilities advocates for the rights of people with developmental disabilities so they may fully participate in and contribute to all aspects of community life. This includes enjoying a secure home, family, friends, education, services, and meaningful work. Public Law 106.402

Synopsis: The Nevada Senior Rx and Disability Rx programs assist eligible applicants to obtain essential prescription medications. Members who are not eligible for Medicare pay up to ten dollars for generic drugs and twenty-five dollars for brand name drugs. Members who are eligible for Medicare receive help with the monthly premium for their Medicare Part D plan and may use the program as a secondary payer for prescription medication during the Medicare Part D coverage gap. Senior Rx statutory authority: NRS 439.635 - 439.795 and NAC 439.750 - 439.790; Disability Rx statutory authority: NRS 439.705 - 439.795 and NAC 439.750 - 439.790; RX Programs funding authority: Tobacco funding - NRS 439.630.

Synopsis: The Intergovernmental Transfer (IGT) account collects payments from counties to be used as state matching funds for Medicaid expenditures, thus reducing the need for state General Fund appropriations. Payments are collected from Clark and Washoe counties in support of supplemental Disproportionate Share Hospital (DSH) payments to hospitals. DSH payments support facilities that serve a disproportionate share of Medicaid, indigent, or other low-income patients. This reduces the burden of uncompensated costs for these facilities. The IGT also collects payments from counties to support supplemental Upper Payment Limit (UPL) payments to providers for inpatient and outpatient hospital services, Graduate Medical Education and mental health services. The UPL program allows supplemental payments to certain providers to fill the gap in payments from what Medicaid reimburses compared to the upper payment limit of what the Medicare program reimburses. In addition, revenues to support the non-federal share of Medicaid costs such as School Based Services and non-emergency para-transit transportation services provide by local government providers. The proceeds are deposited to this account and transferred as needed to Nevada Medicaid, budget account 3243, medical payments, and to Health Care Financing and Policy, budget account 3158, for related administrative costs, to Nevada Check Up (NCU), budget account 3178 for NCU medical expenditures. The remainder, if any, is balanced forward to reserve. Statutory authority: NRS 422.380 through 422.390 and the Nevada State Plan under Title XIX of the Social Security Act.

Synopsis: This budget account represents administrative support for the Division of Health Care Financing and Policy. The division's mission is to purchase and ensure the provision of quality health care services, including Medicaid and Nevada Check Up, to low-income Nevadans in the most efficient manner; promote equal access to health care at an affordable cost to the taxpayers of Nevada; restrain the growth of health care costs; and review Medicaid, Nevada Check Up, and other State Health Care programs to maximize federal revenue to the state. Statutory Authority: NRS 422, NRS 439B, Title XIX and Title XXI of the Social Security Act and Section 42 of the Code of Federal Regulations.

Synopsis: The 2003 Legislature instituted a Long-Term Care provider tax on freestanding long term care facilities to increase the quality of long-term nursing care in Nevada. The tax rate is based on 6% of net patient revenues (42 CFR 433.68). The proceeds of the tax are deposited to this account and then transferred, as needed, to Nevada Medicaid, budget account 3243, to make monthly supplemental payments to skilled nursing facilities caring for Medicaid recipients, up to one percent to Health Care Financing & Policy Administration, budget account 3158, for administrative costs; and the remainder is balanced forward to reserve. Statutory authority: NRS 422.3755 through 422.379.

Synopsis: The mission of Southern Nevada Adult Mental Health Services (SNAMHS) is to help adults with mental illness through inpatient and community-based services; empowering them to live and safely participate in the community while maximizing their quality of life. SNAMHS provides comprehensive psychiatric services to individuals with mental illness throughout locations in Southern Nevada. Statutory Authority: NRS 433.

Synopsis: The mission of Northern Nevada Adult Mental Health Services is to provide psychiatric treatment and rehabilitation services for adults of Northern Nevada with mental illness in the least restrictive setting to support personal recovery and enhance quality of life. Statutory Authority: NRS 433; 433A; 436.

Synopsis: This budget manages the Information Systems for the Public and Behavioral Health Services Division. This budget is committed to division-wide information technology (IT) implementation projects, IT planning, and IT improvements. Statutory Authority: NRS Chapter 433.254.

Synopsis: The Family Preservation Program provides financial assistance on a monthly basis to low-income families residing in Nevada who are providing care in their home for family members with profound or severe intellectual disabilities. Also covered are children under six years of age who have developmental delays that require support equivalent to that required by a person with profound or severe intellectual disabilities or a related condition. The purpose of this assistance is to help offset expenses necessary to meet the special needs of the person with intellectual disabilities and to help strengthen and support families, thereby keeping families intact and reducing the need for out-of-home placement. Families use assistance payments to obtain specialized supplies or equipment (wheelchairs, clothing, diapers, therapy services, special diets, transportation services) and general income supplementation. Statutory Authority NRS 435.365.

Synopsis: Rural Regional Center has offices in six sites that provide, or purchase services, for people with intellectual disabilities and related conditions and their families. The centers serve Nevada counties with the exception of Washoe, Clark, and parts of Nye and Lincoln Counties. Most services are funded by Medicaid Title XIX through the Home and Community Based Waiver and Targeted Case Management. Services purchased or provided include: service coordination, family supports, residential supports, jobs and day training, psychological services, nursing services, and quality assurance. Statutory Authority: NRS 433 and 435.

Synopsis: Working in partnership with consumers, families, advocacy groups, agencies, and diverse communities, Behavioral Health's Administration Office provides responsive services and informed leadership to ensure quality outcomes. The division's mission includes treatment in the least restrictive environment, prevention, education, habilitation and rehabilitation for Nevadans challenged with mental illness or mental retardation. These services are designed to maximize each individual's degree of independence, functioning and satisfaction. Statutory Authority: NRS 433, 433A, and 433B.

Synopsis: The mission of Behavioral Health Prevention and Treatment (BHPT) is to reduce the impact of substance abuse in Nevada. This is accomplished by identifying and responding to the alcohol and drug concerns of Nevadans, facilitating a continuum of care through high quality education, prevention, and treatment services by providing oversight and funding for community-based, public and private nonprofit organizations. Consistent with the Affordable Care Act, the Division of Public and Behavioral Health has been working with the Substance Abuse and Mental Health Services Administration to integrate the BHPT and Mental Health Block Grants. Working in partnership with consumers, families, advocacy groups, agencies, and diverse communities, this budget account provides responsive mental health and substance abuse/addiction services, and informed leadership, to ensure quality treatment outcomes. The division's mission includes treatment to all consumers in the least restrictive environment, as well as prevention, education, habilitation and rehabilitation for Nevadans citizens challenged with mental illness, addictions or co-occurring disorders or those at risk. This budget account is accountable for developing community infrastructure, including but not limited to applying for eligible grants, grants management, statewide leadership and strategic planning. Statutory Authority: NRS 433, 433A, and 433B, 458.

Synopsis: Nevada initiated a Children's Health Insurance Program (CHIP) in 1998, known as Nevada Check Up. Under Title XXI of the Social Security Act, CHIP provides options for states to cover health care costs for low-income, uninsured children not eligible for Medicaid, whose family income is at or below 200% of the federal poverty level. The Nevada Check Up Program is a stand-alone program. It is not an entitlement program nor is it part of the Medicaid Program. Families are assessed quarterly premiums based on family size and income. Statutory Authority: NRS 432A.300, NRS 422, Federal Title XXI of the Social Security Act, and Section 43 of the Code of Federal Regulations.

Synopsis: The Caliente Youth Center (CYC) is a secure, juvenile residential facility located 150 miles north of Las Vegas on the east side of US Highway 93 in Caliente, Nevada. There are seven housing units situated on thirty-five acres with a maximum capacity of 140 youth. CYC serves male and female clients between twelve to eighteen years of age. CYC is authorized and governed by NRS Chapter 63, State Facilities for Detention of Children, and those applicable statutes contained within NRS Chapter 62A, Juvenile Justice General Provisions. The programming at CYC addresses delinquent youth who also may have been victims of abuse, abandonment, and neglect, working closely with both public and private agencies in accomplishing goals. Staff from CYC coordinate with the Nevada Youth Parole Bureau and the Interstate Compact on Juveniles to ensure the youth receive the best possible aftercare services once they are released from CYC's jurisdiction. Youth who apply themselves to reach their goals in the shortest time possible typically achieve parole release within six to seven months. Statutory Authority: NRS Chapter 63

Synopsis: The Victims of Domestic Violence program awards grants to non-profit entities statewide to provide direct services to victims of domestic violence and sexual assault. Services include shelter, crisis phone access, emergency assistance, advocacy, hospital accompaniment, and counseling. Viable programs are sustained in all seventeen Nevada counties with trained staff and volunteers. The Division of Child and Family Services has responsibility for monitoring domestic violence programs to ensure compliance with NRS 217.400 through 217.460 for granting funds from the domestic violence account, maintaining financial records, and evaluating services provided. Funding for this program comes from marriage license fees. The Victims of Domestic Violence account was established for the purpose of managing these funds. Statutory Authority: NRS Chapter 217.

Synopsis: The Office of Vital Records (OVR) issues certified birth and death certificates, maintains and protects all vital records, and processes all legal corrections and amendments to these vital records. OVR participates in the National Vital Statistics System and responds to the data and statistical needs of policy makers, health programs, health care providers, businesses, researchers, media, educational institutions and the public. Statutory Authority: NRS 440.

Synopsis: Environmental Health Services (EHS) involves those aspects of public health concerned with the factors, circumstances, and conditions in the environment or surroundings of humans that can exert an influence on health and well-being. The EHS section uses tools such as permitting, management, education, enforcement, consultation, and emergency response for the purpose of preventing environmental health hazards, the promotion and protection of the public health and the environment in the following areas: food protection; bottled water plants and distributors; cosmetic plants; public accommodations; recreational vehicle parks; institutional environmental health; recreational swimming areas and waters; solid and liquid waste management; onsite septic systems; water sanitation; and emergency preparedness. All food-borne illness complaints are investigated, as well as truck wrecks and fires that involve food and drugs. Services and public education are provided throughout the state in a variety of fields including sanitation courses for food service workers and managers. Offices are located in Carson City, Elko, Winnemucca, Ely, Fallon, and Las Vegas. This program assures safe food and healthful public facilities and institutions, creating a foundation of public confidence that encourages economic development. School students are assured a healthful environment in which to focus their educational achievement; visitors are assured of their health and safety, thus encouraged to come to Nevada to take part in gaming and non-gaming business, and tourist-related industries. Statutory Authority: NRS 432A, NRS 439, NRS 445A, NRS 446, NRS 447, NRS 449, NRS 583, and NRS 585.

Synopsis: The Grants Management Unit consolidates the function and management of grant programs that pass funds through to community level and state sub-recipients. This unit was created to ensure the standardization of procedures, simplification of accounting, and co-location of staff. The efficiencies realized allow the department to use fewer funds for administrative purposes and to pass more funds to grantees providing direct services. Grantees have also benefited from the standardized procedures used to request funding.

Synopsis: Established during the 2005 Legislative Session, this revolving account supports programs for the prevention and treatment of problem gambling. The funds must be expended only to award grants of money or contracts for services to state agencies and other political subdivisions of the state or to organizations or educational institutions to provide programs for the prevention and treatment of problem gambling. Statutory Authority: NRS 458A.

Synopsis: Effective July 1, 1985, NRS Chapter 432 was amended to create the Children's Trust Account. Revenues for this account are derived from a $3.00 fee on Nevada birth and death certificates. Funds in the Children's Trust Account are to be used to support programs and services designed to prevent abuse and neglect of children. Statutory Authority: NRS 432.131 - NRS 432.133.

Synopsis: The Office of Consumer Health Assistance, which includes the Bureau of Hospital Patients and the Office of Minority Health, provides a single point of contact for consumers, including members of minority groups and injured workers regarding health care issues. The objective is to assist them in understanding their rights and responsibilities under Nevada law and health care plans, including industrial insurance policies. In addition, the office disseminates information through outreach activities including counseling, education and advocacy to increase awareness of and access to health care services. Statutory Authority: NRS 223.550 and 232.467.

Synopsis: Early Intervention Services are provided to children from birth to their 3rd birthday who have known or suspected developmental delays in the areas of cognition, communication, physical development (including vision and hearing), social and emotional development and/or adaptive skills as required by Part C of the Individuals with Disabilities Education Act. Services may include, but are not limited to, service coordination; occupational, physical and speech therapy; vision and hearing services; specialized instruction; parent support; assistive technology; pediatric diagnostic evaluations; nutritional services; and family training and counseling. Services are primarily provided in the home, child care and preschool settings, and/or Early Head Start programs. In collaboration with Maternal Child Health and local hospitals, early intervention state programs provide follow-up developmental and pediatric services for hospital neonatal intensive care nurseries and follow-up hearing evaluations for the newborn hearing screening program. Early intervention personnel provide administrative and physician support for specialty clinics for children in the areas of genetic disorders, metabolic disorders, and craniofacial anomalies. Nevada Early Intervention Programs provide early intervention services in all of Nevada's seventeen counties. Regional offices are located in Reno, Carson City, Winnemucca, Elko, Ely and Las Vegas. In 2006, a public/private partnership was initiated and has expanded to five private community partners serving the Las Vegas area and four private community partners serving the Reno/Sparks/Carson City areas.

Synopsis: The major functions of the Nevada State Immunization Program are to work with state and county health agencies and the private medical community to promote vaccinations among infants, children, and adults to increase immunization rates and reduce vaccine preventable diseases; respond to vaccine preventable disease outbreaks; develop and promote maternal and adult immunization education programs; maintain the statewide immunization registry; provide education on the use of a statewide immunization registry; develop state immunization and vaccine preventable disease regulations and laws; provide immunization education to health care professionals and consumers; develop and implement systems to assess immunization levels; conduct immunization audits as part of a quality assurance process for county health districts, public health clinics, and private physicians who administer state supplied vaccines; and prevent the transmission of hepatitis B in Nevada through the Perinatal and Universal Hepatitis B Prevention Programs. Statutory Authority: NRS 439 and 441A.

Synopsis: The Special Supplemental Food Program for Women, Infants, and Children, commonly known as WIC, provides nutritious foods to supplement the diets of pregnant, postpartum and breastfeeding women, infants, and children under age five who have limited income and been determined to be at nutritional risk. Participants get food instruments for healthy foods, advice on good nutrition, health screening, information on health care services like immunizations, prenatal care, family planning, and information about other family support services available in their community. Federal Authority: Code of Federal Regulations, Title 7, Chapter II, Part 246, Subparts A through G.

Synopsis: The mission of the HIV/AIDS Prevention and Care Program is to work with local health authorities and the general public to prevent and control HIV/AIDS in Nevada. The program consists of the following: HIV Prevention, Ryan White CARE Act Part B, AIDS Drug Assistance Program, and Housing Opportunities for People with AIDS (HOPWA). The program's functions are achieved through collaborative relationships with public and community-based organizations, local health authorities, community members, and other key stakeholders. Primary activities of HIV Prevention include the coordination of statewide HIV community planning and the development of an annual comprehensive HIV prevention plan; provide training and technical assistance to local health authorities and community-based organizations that offer screening and testing; provide risk reduction education and counseling; drug treatment; and other community-based wellness activities. Additionally, the HIV Prevention Program is tasked with ensuring that new Center For Disease Control HIV prevention strategies and initiatives are implemented statewide. This ensures that Nevadans are receiving the latest behavioral interventions available. Primary activities of the Ryan White CARE Act Part B program include the providing of HIV/AIDS medications and community-based services to individuals infected and affected with HIV/AIDS. Medications, treatments, and other services are provided through agreements with community-based organizations, pharmacies, and HIV/AIDS specialty clinics. Program income consists of 340B drug rebates received on drugs purchased and is used to support the program. This program income remains with the sub-grantee and is added to resources committed to the project to further objectives and cover program costs. HOPWA provides housing assistance and supportive services for individuals living with HIV/AIDS. HOPWA funding is utilized to establish, coordinate and develop housing assistance resources or to acquire, maintain or repair facilities. Services are provided through a contract with a community-based organization. Statutory Authority: NRS 441A and NRS 439.

Synopsis: The mission of the Bureau of Health Care Quality and Compliance (HCQC) is to protect the safety and welfare of the public through regulation, licensing, enforcement and education. The mission of the health facilities section of HCQC is promotion and advocacy of quality health care. The health facilities section accomplishes its mission by evaluating the quality of health care provided to residents/patients of medical facilities, medical laboratories and facilities for the dependent. This section also evaluates qualifications and issues licenses to certain allied health professionals, such as medical laboratory personnel, dietitians and music therapists. This section has environmental health specialists that conduct kitchen inspections in health facilities and an infection prevention and control team that provides evaluation, consultation and education. Evaluation of health facilities is accomplished through onsite observations, documentation review, interviews and attestations. Initial and periodic inspections are conducted and complaints are investigated or administrative interventions are accomplished for immediate resolution of health care consumer concerns. When necessary, licensees receive appropriate administrative sanctions and fines. The health facilities section also has an agreement with the federal Centers for Medicare and Medicaid Services (CMS) to conduct inspections in certain medical facilities. The health facilities section also has an agreement with CMS to certify certain medical laboratories for compliance with the Clinical Laboratory Improvement Amendments. The health facilities section is responsible for dissemination of health facility regulation information and education for the public, other governmental entities, and health facility applicants/providers. This section also partners with several industry groups for ongoing communication and strategies regarding regulatory issues.

Synopsis: This account is accounted for separately and includes administrative sanctions collected from health facilities found to be in violation of statutes and regulations. The revenue from sanctions vary from year to year, based on inspection findings and egregious events that are not predictable. Statutes authorize the division to use money in the fund for training and education to employees of Public Health, employees of medical facilities, and members of the general public regarding issues relating to the provision of quality and safe health care. Statutory Authority: NRS 449.163, NRS 449.447, NRS 449.093, NRS 449.170, NRS 449.2486, NRS 449.210, NRS 449.2496, NRS 449.0308.

Synopsis: This budget includes multiple programs that perform the following activities: preparation for and management/mitigation of the response to public health emergencies caused by naturally-occurring disasters or terrorism; primary care health planning and provider recruitment and retention; and emergency medical systems response. These activities are accomplished through combined health care planning, health care systems, and response efforts of various disciplines across the State of Nevada, such as public health, primary care, emergency management, community services, the health care community, law enforcement, etc. To ensure consistency with the National Preparedness Response Framework, all activities and capabilities are being developed to be National Incident Management System (NIMS) compliant. The purpose of these programs is to improve Nevada's public health infrastructure in order to be better prepared to respond to public health emergencies, including natural and man-made disasters, and to bring medical resources to the State's Health Professional Shortage Areas. These resources are critical in protecting the life, health, and safety of Nevada's citizens and visitors. The budget receives its funding from federal grants awarded by the Centers for Disease Control and Prevention, the Assistant Secretary for Preparedness and Response, Health Resources and Services Administration, and the Department of Homeland Security. It also receives fees for the Conrad 30/J-1 Physician Visa Waiver Program and Certificate of Need for Health Facilities. Statutory Authority: NRS 414, NRS 439, NRS 439A, NRS 440, NRS 441A, and NRS 442.

Synopsis: The Biostatistics and Epidemiology budget account serves the Division of Public and Behavioral Health (DPBH) Office of Public Health Informatics and Epidemiology (OPHIE). The mission of the OPHIE is to conduct disease surveillance, investigate disease outbreaks, and provide quality, timely, and relevant data and statistics to supportive public health stakeholders. To carry out this mission, the OPHIE records and analyzes reportable disease information; analyzes data from disease investigations; identifies risk factors; provides education and recommendations on disease prevention; and, works in conjunction with appropriate agencies to enforce communicable disease laws. Staff in the OPHIE also performs data management, quality assurance, analysis, and reporting in a broad spectrum of public health areas. The OPHIE houses many core public health datasets, including communicable disease (HIV, STD, TB, and others) registries, births, deaths, fetal deaths, abortions, marriages, divorces, and others. Common elements between databases enable matching or linking of these databases in order to provide newly accessible and standardized information for analytical and programmatic purposes. Extracted databases derived from each database and linked databases are available for statistical data analysis. Analyses are compiled in a variety of reports, which are posted on the DPBH website, making the data available for program evaluation and planning and policy development. Statutory Authority: NRS 439 and441A

Synopsis: There are six long-term programs/funding sources in this budget account: Preventive Health and Human Services Block Grant, Women's Health Connection, Comprehensive Cancer Control, Colorectal Cancer Screening Program, Tobacco Prevention and Education, and Diabetes Prevention and Control Programs. Two new programs were added in state fiscal year 2012 for Chronic Disease Prevention and Health Promotion. The Coordinated Chronic Disease Prevention and Health Promotion Program strives to enhance program capacity and integration. The 2013 Legislature approved the transfer of the Oral Health Program (OHP) from Maternal Child Health Services to integrate and align with Chronic Disease Management and Activities. OHP is a vital part of the Chronic Disease Program mission.

Synopsis: To provide accurate and timely services for the protection of the health of Nevada's residents and visitors through research into the causes and dissemination of disease, diagnosis of communicable disease outbreaks, surveillance for emerging infectious diseases, and environmental contaminants, as well as integration into state and national health policies/networks for public health promotion and education.

Synopsis: The Maternal and Child Health program (MCH) works to improve the health of Nevada's families, with emphasis on women of childbearing age, infants, children and adolescents, including children with special health care needs. The MCH Program promotes, assures and provides health education, prevention activities, quality assurance, and access to health care services. Authority: NRS 442; Title V of the Social Security Act.

Synopsis: The Division of Public and Behavioral Health's administration office is responsible for the enforcement of all laws and regulations pertaining to the public's health. Staff in the administration office provides support services to the program areas charged with promoting and protecting the health of all Nevadans and visitors to the state. Support services include administrative oversight and program accountability, information technology support, personnel support, public information officer support, and fiscal oversight and accountability. The Administrator, Chief Medical Officer, and administrative support for the State Board of Health are funded in this budget account. Statutory Authority: NRS 439. The administration office is also responsible for the Commission on Behavioral Health, although it is funded through another budget account. Statutory Authority: NRS 433.

Synopsis: The Community Health Services (CHS) provides public health services in fourteen of Nevada's rural counties. Eleven of these counties have community health services clinics; Elko, Eureka, and Storey Counties have Federally Qualified Health Centers (FQHC) but no CHS clinics. CHS provides public health preparedness (PHP) coverage and epidemiology assistance in twelve counties; Lyon and Douglas Counties began receiving their PHP and epidemiology coverage by Carson City Health and Human Services in the fall of 2011. Essential public health nursing services include adult and child immunizations, Early Periodic Screening Diagnosis and Treatment examinations, including lead testing; family planning, cancer screening, and identification/treatment of communicable diseases such as Tuberculosis, Sexually Transmitted Infections and Human Immunodeficiency Virus (HIV). Lincoln and Esmeralda county Community Health Nurses function as the school health nurse in those rural districts without school nurses.

Synopsis: The Welfare Administration budget account funds the administrative expenses associated with ensuring public assistance programs are administered in accordance with federal and state regulations. This includes providing the necessary support to allow field staff to provide quality, timely, and temporary public assistance enabling Nevada families, the disabled, and the elderly to achieve the highest levels of self-sufficiency. This support includes, but is not limited to: * Fulfill federal reporting requirements * Development and adoption of state plans and regulations * Implementation of consistent policies and regulations and issuance of policy manuals * Conduct federally mandated quality control and management evaluations * Participation with field and program operations in the development of meaningful business practices * Development and monitoring of meaningful performance measures consistent with Legislative intent * Provide personnel support for recruitment, retention, employee development, work performance measurement, as well as compliance with non-discrimination, Americans with Disabilities Act, and Family and Medical Leave Act * Development and implementation of effective organizational training * Sustain a robust Information Systems operations, maintenance, and enhancements * Provide meaningful fiscal, statistical, contract, and facility oversight * Conduct timely and objective Administrative Fair Hearings * Coordination of collaborative partnerships with public, private, and non-profit entities to maximize service delivery Statutory Authority: NRS 422A.

Synopsis: The Division of Child and Family Services (DCFS) Rural Region Child Welfare supports child protective services and other related child welfare services to the fifteen rural counties in the state through its Rural Region offices. The DCFS Rural Region is separated into four districts, each providing services to multiple counties. Child welfare services include emergency response (child protection) and the continuum of ongoing services to families through a comprehensive case planning process that provides initial assessment and comprehensive case management services that support the child, the parents and the caregivers. The continuum includes emergency shelter care, foster family care (including relative placements), group home care, therapeutic foster care, residential treatment care for both in and out of state placements, Interstate Compact for the Placement of Children, foster care licensing, independent living services and adoption. Additional services to support the child and their family include in-home counseling, Intensive Family Services (IFS), early childhood services and designated outpatient services.

Synopsis: The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) replaced the entitlement for Aid to Families with Dependent Children (AFDC) with a Temporary Assistance for Needy Families (TANF) block grant covering cash assistance, employment and training activities and other activities meeting the four goals of TANF: 1. Provide assistance to needy families so children may be cared for in their homes or in the homes of relatives. 2. End the dependence of needy parents on government benefits by promoting job preparation, work and marriage. 3. Prevent and reduce the incidence of out-of wedlock pregnancies. 4. Encourage the formation and maintenance of two-parent families. Although significantly curtailed by the Deficit Reduction Act of 2005, PRWORA gave Nevada the flexibility to design its own self-sufficiency program to assist recipients in finding and keeping jobs. The program uses elements such as capped funding, work requirements and time limits on program eligibility to limit long-term dependency. There are currently three different types of TANF benefit programs offered to new applicants: 1. New Employees of Nevada (NEON) 2. Child Only for households containing no-work eligible individuals 3. Temporary Program (TEMP) providing short term assistance limited to an episode of need as a result of unforeseen circumstances, which includes a natural disaster such as a flood, earthquake, etc. TANF is federally funded through a block grant from the Department of Health and Human Services. The annual federal TANF block grant is $43.7 million and is anticipated to remain at that level. Under the Maintenance of Effort (MOE) provision in the federal regulations, states are required to contribute money equal to 80% of the amount spent AFDC and AFDC-related programs during fiscal year 1994. The 80% MOE can be reduced to 75% for each year the work participation rates are met. For Nevada, the total TANF MOE is $27.2 million of which $24.6 million is in the TANF budget account. The remaining $2.6 million is spent in Child Care, budget account 3267, which is counted as MOE for both TANF and Child Care. The TANF program mandates the state to participate in a Child Support Enforcement Program (CSEP), which is funded through budget accounts 3238 and 3239. Statutory Authority: NRS 422A.

Synopsis: The State Supplemental Assistance Program provides an additional payment to low-income aged and blind individuals; receiving Supplemental Security Income (SSI), and provides adult group care facilities with a greater supplement to assist recipients in avoiding or delaying institutionalization. The federal government started the SSI program on January 1, 1974. The program is administered by the Social Security Administration (SSA), and states were given the option to make payments in addition to the amount paid by the federal government. Nevada has paid a state supplement to the aged and blind since the start of the program. The prevention of, or delay in, institutionalization results in cost savings for the Medicaid program. The Division of Welfare and Supportive Services contracts with the SSA to determine eligibility and issue the state supplement. States pay a per check charge for each SSI payment made. The state supplement and federal payment are paid monthly to the recipient and combined in one check from the SSA. Statutory Authority: NRS 422A.

Synopsis: The Field Services budget provides staff salaries and operating expenses for the various programs administered by the Division of Welfare and Supportive Services (DWSS). This budget account primarily consists of Family Services Specialists who determine eligibility for the major program areas which include: Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), and various medical programs including Medical Assistance to the Aged, Blind and Disabled. Family Services Specialists and Social Workers provide employment and support services to assist the needy in overcoming barriers to self-sufficiency. The federal government mandates specific quality and performance measures for eligibility, client support and periodic reviews of client circumstances. The state is subject to penalties in the form of grant reductions for non-compliance with the performance measures. If penalized, the state is required to replace the grant reductions with General Fund appropriations restoring the available program funding to the pre-penalty level. Additionally, program integrity and fraud protection is an integral part of Field Service responsibility. Field Services is required to provide service and appropriate eligibility to anyone seeking access to DWSS administered programs. All requests are provided a consistent level of quality service. Statutory Authority: NRS 422A.

Synopsis: The purpose of the Emergency Medical Services Program is to promote and support a system that provides prompt, efficient, and appropriate emergency medical care, ambulance transportation, and trauma care to the people of Nevada. Statutory Authority: NRS 450B.

Synopsis: The mission of the Child Support Enforcement Program (CSEP) is to help strengthen families and reduce welfare dependency by ensuring parents live up to the responsibility of supporting their children. CSEP promotes the well-being of children, strengthens families, and reduces the demand on public treasuries by securing support from legally responsible parents in conjunction with the Temporary Assistance for Needy Families (TANF) mandate for the state to participate in CSEP. In Nevada, this program is administered by the Division of Welfare and Supportive Services (DWSS) and jointly operated with participating county district attorneys' offices through cooperative agreements. CSEP provides five basic services: 1) Location of absent parents; 2) Establishment of parentage; 3) Establishment of child support and medical support orders; 4) Enforcement of child support and medical support orders; 5) Collection and disbursement of child support and medical support payments. Funding is matched 34% by the state and participating counties and 66% by the Federal Child Support Enforcement Grant. The 34% state share is funded through State Share of Collections (SSC). The SSC is the amount of TANF dollars allowed to be retained by the state according to federal rules, which are collected through assigned child support payments. Statutory Authority: NRS 425.

Synopsis: The Child Support Federal Reimbursement budget account is used to pass through federal payments to participating district attorneys' offices for the federal share of costs and incentive payments associated with their local child support enforcement programs. Currently ten of the seventeen Nevada district attorneys participate in the program under contract to provide intake, location of non-custodial parents, paternity establishment, financial and medical support order establishment, and other enforcement activities. The Child Support Federal Reimbursement budget account was created in the 1999 budget process to separate the child support program's state administrative costs in budget account 3238 from the pass-through of federal funds to the local district attorneys. Statutory Authority: NRS 425.

Synopsis: The Child Welfare Trust Fund account was established to receive benefits for survivors or other awards payable to children receiving child welfare services in a county whose population is less than 100,000, which must be deposited in the State Treasury for credit to the fund including Social Security and Supplemental Security Income. The division maintains a separate account for each child who receives money and deducts from the account any services to the child provided by public money. Surplus balances are distributed in accordance with the guidance provided by the entity in which the funds were received. Interest accrued is credited to the budget account by the Treasurer's Office and then credited to each child's separate account maintained in the Trust Fund for Child Welfare at the end of each interest period. Statutory Authority: NRS 432.037

Synopsis: This budget account represents Medicaid medical costs for the Division of Health Care Financing and Policy as authorized by Federal Title XIX of the Social Security Act. The mission of the division is to purchase quality, accessible, and economical health care services for eligible Nevadans. Federal regulations define mandatory recipient groups to be covered; Nevada generally covers only those mandatory groups. The Welfare and Supportive Services Division and the Department of Health and Human Services, Director's Office provide caseload forecasts. Cost-per-eligible data is produced from the Medicaid Management Information System and is based on paid medical claims history. This data is factored with the caseload projections to produce budgeted medical expenditures. Statutory Authority: NRS 422, NRS 439B, Federal Title XIX of the Social Security Act, Section 42 Code of Federal Regulations, and the Nevada State Plan.

Synopsis: The Fund for Hospital Care to Indigent Persons provides reimbursement to Nevada counties for certain unpaid hospital charges for medical treatment of indigent persons.

Synopsis: The Transition from Foster Care budget account assists persons, who turn eighteen while in foster care in Nevada, to transition from foster care to economic self-sufficiency. Assembly Bill 94 of the 2001 Legislative Session authorized the collection of a $1 fee for recording a document, instrument, notice, deed or other writing to be used to assist persons formerly in foster care. Funds may be (a) disbursed on behalf of qualifying persons on the basis of need to obtain goods and services, including: job training, housing assistance, and medical insurance; (b) granted to non-profit community organizations; or (c) expended to provide matching money required as a condition of a federal grant. Money in this budget account at the end of any fiscal year remains in the account and does not revert to any other fund, but is balanced forward into the next fiscal year.

Synopsis: The Child Death Review account supports statewide child death review activities by the mandated Executive Committee to Review the Death of Children. The activities of the child death review committee includes the development of statewide protocols; training and multidisciplinary teams; the compilation of child death statistics; and an annual report of recommendations on improving the laws, regulations and policies related to child death review. The Executive Committee which consists of representatives from state and local government agencies throughout Nevada which provide child welfare services and agencies that are responsible for vital statistics, public health, mental health and public safety. Statutory Authority: NRS 432B.403 through NRS 432B.409

Synopsis: The mission of the Alcohol Tax Program is to treat alcohol addiction in Nevada. NRS 369.174 states that the tax in excess of $3.45 per wine gallon on liquor containing more than 22% of alcohol by volume will be transferred to this budget account. NRS 458.097 states that this money will be used to increase services for the prevention of alcohol and drug abuse through detoxification and rehabilitation services.

Synopsis: The Nevada Youth Training Center (NYTC) is a residential juvenile correctional facility serving male youth between the ages of twelve and eighteen who are committed by the state's district courts for correctional care. Bed space of the facility was reduced to 60 from 110 beds during the 2013 Legislative Session. The facility is located in Elko, Nevada and operates a junior/senior high school program offering required and elective academic subjects, remedial programs (reading, math, language), special education, and vocational education. Youth also receive counseling conducted individually or in small and large groups, monthly treatment team meetings, and substance abuse counseling. Youth who apply themselves to reach their goals in the shortest amount of time possible typically achieve parole release within six to seven months. Statutory Authority: NRS Chapter 63.

Synopsis: The Upper Payment Limit (UPL) Holding Account was established in Section 51 of Assembly Bill 507 of the 77th Legislative Session to allow the Department of Health and Human Services (DHHS) to place excess funds from various divisions within DHHS as a result of savings from not providing health care and related services. When needed, the funds will be transferred to the Division of Health Care Financing and Policy and used to pay the state's share of the cost for the Private UPL Supplemental Payment Program.

Synopsis: The Fund for a Healthy Nevada is organizationally assigned to the Department of Health and Human Services' Director's Office. This account acts as a pass-through account to Budget Account 3195, Grants Management Unit, where grants to prevent, reduce, and treat the use of tobacco and its consequences, and grants to improve the health of children and persons with disabilities are administered. It has been determined this is an unnecessary step in processing payments; therefore, this budget account has been eliminated.

Synopsis: Youth Parole Services provides supervision and case management services to delinquent youth committed to the Division of Child and Family Services (DCFS) Youth Correctional Services. Caseloads consist of: delinquent youth committed to state youth institutions; youth on parole from such institutions; youth referred to Nevada for parole supervision from other states through the Interstate Compact on Juveniles (NRS 62I); youth committed to DCFS who require both correctional and mental health residential treatment; and youth under the age of twelve who are committed to DCFS for correctional care, but who cannot by law be placed in an institutional setting. Parole aftercare services are provided to youth through a continuum of services starting with client and family assessment, institutional visitation, and pre-release parole planning with youth while the youth are in the state youth correctional facilities. Based on these contacts, youth are provided with a reputable placement and appropriate parole programming. Youth unable to return to parents or guardians are provided residential care through division contracts for foster care, group care, and residential treatment programs. While on parole, each youth is supervised to ensure compliance with conditions of parole and state and local laws. Counseling and guidance is provided to facilitate the youth's successful participation in an educational and/or vocational program. Through day treatment classes and individual and group counseling, Youth Parole counselors assist parolees in the development of competencies in their personal lives. Issues of anger control, substance abuse, gender specific issues, gang membership, impulse control, social skills and decision-making are addressed on an individual basis. Youth Parole Services operates the Interstate Compact on Juveniles which regulates the transfer of juvenile probation and parole supervision across state boundaries and is charged with arranging the return of delinquent runaways on demand. Statutory Authority: NRS Chapters 62, 62I, and 63.

Synopsis: The mission of the Aging and Disability Services Division is to ensure the provision of effective supports and services to meet the needs of individuals and families, helping them lead independent, meaningful and dignified lives. This budget account includes the Disability Services unit, Community Based Care, and Elder Protective Services. The Disability Services unit provides resources at the community level that assist people with severe disabilities and their families in helping them to live as independently as possible, and to live in an integrated setting. Programs within this unit include the Assistive Technology for Independent Living, the Communication Access Program for persons who are Deaf or hard of hearing, and the Autism Treatment Assistance Program. The Community Based Care unit provides service to those seniors and persons with disabilities most at risk through the Home and Community Based Waiver for the Frail Elderly, Community Service Options Program for the Elderly, Homemaker Program, and Personal Assistance Services to provide alternatives to nursing home placement. The Elder Protective Services Program, which is part of the Elder Rights Unit, receives and investigates reports of abuse, neglect, self-neglect, exploitation, and isolation of persons aged sixty years and older.

Synopsis: The Child Care Assistance and Development Program (CCDP) provides assistance to Nevada's low-income families in paying for their child care needs. These services assist people to become and remain self-sufficient, thereby reducing long-term dependency and the associated expenditures to public assistance programs. The CCDP is administered by the Division of Welfare and Supportive Services with service delivery accomplished by Children's Cabinet in northern Nevada and the Las Vegas Urban League in southern Nevada. The Child Care and Development Fund includes the following child care programs: 1) New Employees of Nevada (NEON) program - provided to current Temporary Assistance to Needy Families (TANF) clients who are participating in various NEON components such as orientation, education and vocational training, employment seeking and work participation. 2) At-Risk - provides child care payments for non-TANF clients who are income eligible for TANF. 3) Discretionary - provides child care and related payments for non-TANF eligible clients. Statutory authority: NRS 422A.

Synopsis: The Individuals with Disabilities Education Act (IDEA) Part C Office monitors quality, compliance, and outcomes of programs and activities conducted by agencies, institutions, organizations, and providers for infants and toddlers with disabilities and their families. This includes facilitating the coordination of payment by federal, state, local, and private sources; enhancing the state's capacity to provide quality services; expanding and improving existing services; and enhancing the capacity of state and local agencies to identify, evaluate, and meet the needs of historically under-represented populations. Statutory Authority: Part C of IDEA established in 1986.

Synopsis: Desert Regional Center operates a full-service intellectual disabilities center that provides, or purchases services, for people with intellectual disabilities and related conditions and their families. The center serves Southern Nevada counties, including Clark and parts of Nye and Lincoln counties. Most services are funded by Medicaid Title XIX through the Home and Community Based Service Waiver and Targeted Case Management. Services purchased or provided include: service coordination, family supports, residential supports, jobs and day training, clinical services, and quality assurance. Statutory Authority: NRS 433 and 435.

Synopsis: Sierra Regional Center (SRC) provides support services for people with developmental disabilities and related conditions. SRC provides services to Washoe County residents of all ages. Most services are funded by Medicaid Title XIX through the Home and Community Based Waiver and Targeted Case Management. Services purchased or provided include: service coordination, family supports such as respite, residential supports, jobs and day training, autism specific services, psychological services, nursing services and quality assurance. Statutory Authority: NRS 433 and 435.

Synopsis: Northern Nevada Child and Adolescent Services (NNCAS) provides assessment, care coordination, and a comprehensive continuum of mental health care services for emotionally disturbed children and adolescents from birth through eighteen years of age in accordance with NRS 433B. Children served are uninsured, under-insured, or fee-for-service Medicaid recipients. Services are provided in a community-based center. Northern Nevada Child and Adolescent Services include early childhood mental health services and outpatient mental health services providing individual, group and family therapies, intensive targeted case management, mobile crisis and early childhood day treatment. Residential services are provided at selected sites and include the Family Learning Homes and the Adolescent Treatment Center. Psychiatric services are provided for children in early childhood mental health, outpatient, and residential services. Services are provided in strengths-based, individualized processes that respect and value the family's decision-making and culture. The goal for every child is to provide services within the least restrictive environment and support remaining in or returning to family care with the support of community-based services. Statutory Authority: NRS 433, 433A and 433B.

Synopsis: The mission of the Lake's Crossing Center facility is to provide statewide forensic mental health services in a secure setting to mentally disordered offenders who have been deemed incompetent to stand trial, referred from the court system, so they can be restored to competency and can be referred back to the court system to stand trial. Lake's Crossing Center also treats very difficult to manage patients from other facilities in the state until they can return to a less restrictive setting, as well as clients acquitted as not guilty by reason of insanity; and dangerous, un-restorable clients. Statutory Authority: NRS 175, 178 and 433.

Synopsis: Southern Nevada Child and Adolescent Services (SNCAS) provides assessment, care coordination, and a comprehensive continuum of mental health care services for emotionally disturbed children and adolescents from birth through eighteen years of age in accordance with NRS 433B. Children served are uninsured, under-insured, or fee-for-service Medicaid recipients. Services are provided in five Neighborhood Family Service Centers. SNCAS center services are both office and home-based and include early childhood mental health services and outpatient children's clinical services providing evidence based models of clinical assessment, individual, group and family therapies, intensive clinical case management, mobile crisis and early childhood day treatment. Intensive clinical case management services through the Wraparound in Nevada Program (WIN) are also provided from the five centers. Residential services are provided at the West Charleston campus and include the Oasis On-Campus Treatment Homes which provides intensive treatment home services and Desert Willow Treatment Center, which provide inpatient acute psychiatric and residential treatment center services. Psychiatric services are provided for children in early childhood mental health, outpatient, and residential services. Services are provided in strength-based, individualized processes that respect and value the family's decision-making and culture. The goal for every child is to provide services within the least restrictive environment and support remaining in or returning to family care with the support of community-based services. Statutory Authority: NRS Chapters 433, 433A and 433B.

Synopsis: Rural Counseling and Supportive Services facilitates the delivery of essential, evidence-based outpatient behavioral health services for adults and children in collaboration with community partners in rural Nevada. Statutory Authority: NRS 433.

Synopsis: The Nevada Marijuana Health Registry is a state registry program within the Nevada Department of Health and Human Services, Division of Public and Behavioral Health. The role of the program is to administer the provisions of the Medical Use of Marijuana law as approved by the Nevada Legislature for registry of patients (adopted in 2001) and regulation of establishments (adopted in 2013). Statutory Authority: Nevada Constitution, Article 4, Section 38; Senate Bill 374 of the 2013 Legislative Session; and NRS 453A.

Synopsis: The mission of the Energy Assistance Program (EAP), formerly known as Low Income Home Energy Assistance (LIHEA), is to assist eligible Nevada citizens in meeting their heating and cooling needs. The EAP provides payments for eligible households, which can be applied to either the heating provider, the cooling provider, or split between the two. In addition, the EAP program provides arrearage assistance to eligible households affording them the opportunity to use their annual EAP benefit allotment as a subsidy to meet monthly heating/cooling costs. EAP payment funding is provided by the Low Income Home Energy Assistance block grant and through the Fund for Energy Assistance and Conservation, budget account 6031, which was created as a result of legislation approved during the 2001 Legislative Session to collect a Universal Energy Charge (UEC) from certain electric and gas utilities. Statutory Authority: NRS 422A and 702.