Synopsis: The Department of Veterans Services is responsible for advocating for and providing superior service to Nevada veterans and their families and to provide community partners the opportunity to contribute to these endeavors. Through four major programs, the department assists veterans in preparing and submitting claims for benefits, provides skilled nursing care, provides dignified burial support, and helps veterans successfully integrate into Nevada communities. Statutory Authority: NRS 417.

Synopsis: The Southern Nevada State Veterans Home (SNSVH) is a 180-bed state-skilled nursing care facility. SNSVH, dedicated on June 28, 2002, admitted its first residents on August 12, 2002. SNSVH provides 24-hour skilled nursing care to eligible veterans, spouses of veterans, and Gold Star Parents who had a child who died while in military service. A minimum of 75% of the SNSVH residents must be veterans. The facility consists of three 60-bed wings and is located on 50 acres in Boulder City. One of the three wings houses a secured care unit intended for residents with severe dementia. SNSVH is certified by Medicaid, Medicare, and the U.S. Department of Veterans Affairs. SNSVH provides a full range of services including physicians; laboratory; pharmacy; physical, occupational, respiratory, and speech therapy; dental, social, and spiritual services; medical records; activities; transportation; maintenance; dietary; barber; laundry; housekeeping; and financial services. SNSVH's primary mission is "Caring for Nevada's Heroes". Statutory Authority: NRS Chapter 417.

Synopsis: The Northern Nevada State Veterans Home (NNSVH) is a 96-bed state-skilled nursing care facility consisting of 12 eight-bed clustered residential units in three 32-room neighborhoods. It includes facilities for administrative offices, receiving/storage, nursing offices, and other support operations. Also included is an exciting town center with physical therapy; dining hall; beauty and barber shop; store; coffee shop; chapel; and activity center. NNSVH provides 24-hour skilled nursing care to eligible veterans, spouses of veterans, and Gold Star Parents who had a child who died while in military service. Statutory Authority: NRS 417.

Synopsis: The mission of the Nevada Equal Rights Commission (NERC) is to foster and protect the rights of all people of the state to reasonably seek, obtain, and hold employment and housing and be granted services in places of public accommodation without discrimination, distinction, or restriction as prohibited by state and federal discrimination laws. NERC oversees the state's Equal Employment Opportunity Program, providing mediation, investigation, and resolution of employment discrimination complaints related to race, religion, color, age (over 40), sex, disability, sexual orientation, gender identity or expression, or national origin. NERC partners with the federal Equal Employment Opportunity Commission in resolving these complaints. NERC also has jurisdiction in Nevada over discrimination in housing and places of public accommodation. Statutory Authority: NRS 233.

Synopsis: The mission of the Department of Native American Affairs (DNAA) is to ensure the well-being of American Indian citizens statewide through development and enhancement of the government-to-government relationship between the State of Nevada and Indian Tribes, and through education for a greater cultural understanding of the state's first citizens. The DNAA strives for social and economic equality for all American Indian people living in the state, while embracing traditional, cultural, and spiritual American Indian values. The DNAA serves as the liaison between the state and the 20 federally recognized tribes comprised of 27 separate tribes, bands, and community councils. Statutory Authority: NRS 233A.

Synopsis: The Stewart Historic District works to preserve the history of the Stewart Indian School by educating the community about the American Indian people, the school and the boarding school era, and to honor and memorialize the thousands of American Indian children who attended the school. Statutory Authority: NRS 233A.

Synopsis: The Education Stabilization Account was established in the 81st Session of the Nevada Legislature by SB 458 Section 19 for the purpose of supporting the operation of the public schools in the State of Nevada, in the event of economic uncertainty or due to slow revenue flow into the State Education Fund. Statutory authority: NRS 387.1213.

Synopsis: The Pupil Centered Funding Plan was implemented during the 81st Legislative session. The Legislature declared that the proper objective of state financial aid to public education is to ensure each Nevada child a reasonably equal educational opportunity. Recognizing wide local variations in wealth and costs per pupil, this state should supplement local financial ability to whatever extent necessary in each school district to provide programs of instruction in both compulsory and elective subjects that offer full opportunity for every Nevada child to receive the benefit of the purposes for which public schools are maintained. Therefore, the quintessence of the state's financial obligation for such programs is now expressed in a formula that provides a certain basic and level of support to each pupil in this state, adjusted to account for variation in the local costs to provide a reasonably equal educational opportunity to pupils and for the costs of providing a reasonably equal educational opportunity to pupils with certain additional educational needs. NRS 387.1212; NRS 387.1214 to NRS 387.12468.

Synopsis: The Educator Effectiveness budget account provides resources for the Department of Education, local school districts, and charter schools to attract, prepare, train, recruit, develop, and retain teachers, principals, and other school leaders to ensure that all students have access to effective, high-quality, and experienced educators. Federal dollars support allowable activities as defined by the Elementary and Secondary Education Act, and General Fund appropriations are used for review and evaluation of traditional and alternative routes to licensure preparation programs as well as development, implementation, and monitoring of the statewide performance evaluation system known as the Nevada Educator Performance Framework in accordance with state law. This budget also supports teacher recognition programs such as The Milken Educator Awards and Nevada Teacher of the Year. Additionally, this budget supports National Board Certification and military Purple Star School recognitions, and the Superintendent's Principal Advisory and Teacher Advisory Cabinets. The Teachers and Leaders Council and the Nevada State Teacher and Educational Support Personnel Recruitment and Retention Advisory Task force are also included in this budget account. Authority: NRS 391.038 and 391.039, NRS 391.450 - 391.485, 20 USC 2101 - 2103 et seq. NRS 391.490-391.496.

Synopsis:

Synopsis: The Grant Fund for Incentives for Licensed Educational Personnel is 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. 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 previously mentioned. NRS 391.A, previously NRS 391.165.

Synopsis: This program provides funding, as recommended by the Statewide Council for the Coordination of Regional Training Programs, to the three regional training programs established by NRS 391A.100-391A.205 and charged with the professional development of teachers and administrators. Funds are distributed to each program's fiscal agent - a local school district in the region served. Statutory Authority: NRS 391A.120-391A.205.

Synopsis: The Contingency Account for Special Education Services allows the state to reimburse school districts and charter schools for extraordinary program expenses and related services which are not ordinarily present in the typical special education service and delivery system at a public school, are associated with the implementation of an individualized education program of a pupil with significant disabilities, and the costs of which exceed the total funding available to the school district or charter school for the pupil. Statutory authority: NRS 388.5243.

Synopsis: The Early Childhood Literacy and Readiness Account plays a crucial role in supporting early childhood education initiatives in Nevada by providing funding to two main programs: the Nevada Ready! State Pre-Kindergarten (NR!PK) program and the Early Childhood Innovative Literacy Program (ECILP) grants. The funding allows the Department to allocate resources strategically to enhance early childhood education and literacy, thereby aiming to improve educational outcomes and developmental opportunities for young children across the state. The NR!PK program aims to enhance early childhood education by increasing access to pre-kindergarten for three-year-olds and expanding eligibility for four-year-olds and their families. By expanding access to pre-K education, the program seeks to improve school readiness and educational outcomes for children across Nevada. ECILP grants are designed to fund innovative new programs or expand existing early literacy initiatives that cater to children under the age of six, their families, and early childhood professionals. These grants support various aspects of early literacy, such as literacy development strategies, parent and caregiver engagement in literacy activities, professional development for early childhood educators, and the integration of literacy into early childhood settings. These initiatives not only aim to prepare children for kindergarten and beyond but also strive to build a strong foundation in literacy that supports lifelong learning and success.

Synopsis: The Nevada Teacher Advancement Scholarship provides scholarship assistance to in-service educators, who have taught in a Nevada public school for at least two years and are taking graduate coursework at a Nevada university or college that results in a master's degree in education or related field.

Synopsis: The budget of the Interim Nevada Legislature provides support staff between legislative sessions. This staff is responsible for finalizing the work of the preceding session, preparing for the upcoming session, assisting legislators, and providing information to the public as the need arises. Statutory Authority: NRS 218A.520 and NRS 218A.550.

Synopsis:

Synopsis: The Legislative Counsel Bureau consists of the Legislative Commission, Legal Division, Audit Division, Fiscal Analysis Division, Research Division, and Administrative Division. The bureau provides direct support to the Nevada Legislature. Statutory Authority: NRS 218F.100.

Synopsis: The Commission on Postsecondary Education is responsible for licensing and inspecting privately owned postsecondary educational institutions and 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 institutions in Nevada, and approves public and private postsecondary institutions, apprenticeships, and on-the-job training programs supported by the U.S. Department of Veterans Affairs. The commission approves training programs for alcohol awareness and is the repository for student records of closed institutions. Statutory Authority: NRS 394.

Synopsis: The Account for Alternative Schools provides leadership, support, and monitoring of private schools in Nevada to ensure they meet the requirements outlined in NRS 394 and NAC 394. This includes provisions related to initial private school licensure and license renewal, annual documentation related to enrollment, staffing, Opportunity Scholarships, and emergency plans for private schools across the state.

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 Department of Education and leads the system of PreK-12 public education in the state. This includes collaborating with the Nevada State Board of Education to lead the development, implementation, and monitoring of the Statewide Plan for Improvement of Pupils, as well as preparing an annual report of the state of public education in Nevada. NRS 385; NRS 385.010; NRS 385.175; NRS 385.230

Synopsis: The department must establish and maintain standards for the core academic content areas, and the performance indicators and possible courses of study. Department staff coordinates the monitoring and technical support of school districts and the regional professional development programs implementation of the standards through the approval of primary instructional materials that align and support the standards and are approved by the Nevada State Board of Education. Statutory Authority: NRS 389.0185, NRS 389.520, and NRS 390.140.

Synopsis: The Department of Education administers career and technical 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 funds authorized by the Strengthening Career and Technical Education for the 21st Century Act (Perkins V). The primary mission of the federal program is to develop and improve CTE programs, focusing on high quality programs aligned to economic and workforce development priorities of the state. Authority: NRS 388.340, 388.360(3), Perkins V.

Synopsis: The Nevada State Gaining Early Awareness and Readiness for Undergraduate Program (GEAR UP) (NVGU) application is a collaborative effort among the Nevada Department of Education (NDE), Office of the Governor, Office of the State Treasurer, and diverse stakeholders, including parents/families, students, agency representatives, businesses and non-profit organizations. As lead agency and fiscal agent, the NDE will direct the project implementation with its partners, including the Nevada System of Higher Education (NSHE), Nevada School Districts and the National Council for Community and Education Partnerships. NVGU programming empowers low-income and historically underrepresented students to do well academically in middle and high school, enroll in rigorous and relevant classes, graduate high school and enter college as a natural extension of their education. Activities for students include mentoring; tutoring; career exploration, Science, Technology, Engineering, and Math (STEM) activities and enrichment; educational field trips; financial literacy/financial aid workshops; and parent/family involvement. NVGU will develop a framework and strategies in GEAR UP middle and high schools for the implementation of Every Student Succeeds Act based on best practices and Nevada College Readiness Standards. During the 2020-2026 grant period, NVGU will serve approximately 4,631 students per year and will operate statewide in eleven middle schools and nine high schools located in northern and southern Nevada school districts, as well as in academic outreach programs located at Nevada's two universities. The program will serve students beginning in the sixth grade through their first year in college at the seven NSHE Public Institutions of Higher Learning. The program schools are located in four of the 17 Nevada school districts.

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 16 years of age 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) was established in 1959 as a participating member of the multi-state Western Regional Education Compact comprised of 16 western states and territories. The agency operates two programs, both of which provide tuition assistance to individuals studying various allied health professions in exchange for employment commitments upon graduation. Employment commitments serve as a tool to increase Nevada's health profession workforce. Statutory authority: NRS 397.063.

Synopsis: The Division of Food and Nutrition administers allotted USDA federal funds to Nevada for nutrition programs. Allotments for each program and/or program sponsor are based on a variety of factors including meal costs or budgets, number of individuals served and the income level/eligibility of those individuals/households. These programs also provide the funding needed to administer these programs, including processing reimbursements, monitoring services to ensure compliance and program integrity, meal pattern compliance, technical assistance, statewide education and professional development to the sponsors and operators. The powers and duties of the Division of Food and Nutrition are established under NRS chapters 385, 387, and 561.

Synopsis: Assessments and Accountability funds several testing programs, each described below, mandated by the Legislature and administered by the Department of Education. The budget account is primarily funded by General Fund appropriations. The 2001 Legislature provided funds to support a contract with a nationally recognized testing company for the development, printing, scoring, and reporting of the Criterion-Referenced Tests (CRTs) in grades 3-8 (NRS 390.105). Using the CRT program for purposes of school accountability is required for Federal Title I compliance and by NRS 385. Pursuant to NRS 390.105 and US PL 114-95, examinations measuring proficiency and achievement in reading, writing, and mathematics are to be administered in grades 3-8. These same laws require administration of examinations measuring proficiency and achievement in science in grades 5, 8, and high school prior to grade 11. Pursuant to NRS 390.610, a College and Career Readiness assessment is required. This assessment also fulfills the requirement of US PL 114-95 to measure proficiency and achievement in reading, writing, and mathematics in high school. Established in the 2015 Legislative session and updated in 2019, NRS 388.157 requires the assessment of all kindergarten through third grade students reading ability via a valid and reliable assessment selected by the State Board of Education. This assessment is to be developed, scored, and reported by a nationally recognized testing company according to NRS 390.105. The Academic Standards Council provides funding to support operational costs in support of the Council to Establish Academic Standards for Public Schools. The Academic Standards Council has been designated through NRS 390.115 as the sole entity within the state responsible for the establishment, periodic review, and prioritization of content and performance standards in the subject areas of English, mathematics, science, social studies, the arts, computer and technology education, health, and physical education. Funding for the Student Accountability Information in Nevada data system and the public facing Report Card required by NRS 385 are part of this budget account. This state reporting system captures students via unique identifications and tracks their progress through the education system, including their test results on the above-mentioned tests. Statutory authority: NRS Chapter 387, NRS Chapter 390; 2001 17th Special Session Senate Bill 2 and Senate Bill 13.

Synopsis: This program provides categorical educational funding as follows: 13 INCENTIVIZING PATHWAYS TO TEACHING - Provides stipends to support pre-service educators as they complete coursework or student teaching 25 JOBS FOR AMERICA'S GRADUATES - Helps students graduate, teaches workplace readiness skills, provides employment support services, and assists enrollment in post-secondary education or the military for high school graduates. 44 PUBLIC BROADCASTING - Subgranted to public broadcasting stations to promote educational, informational, and cultural needs of Nevada communities. 49 EDUCATION LEADERSHIP - Funds leadership personnel development to prepare school leaders to be successful in their expanded management duties. 78 AB580-SEC 82-CTE PROGRAMS - Subgranted to school districts and charter schools to support Career and Technical Education programs. 80 ADULT EDUCATION - Subgranted to school districts to support adult standard high school diploma courses of study.

Synopsis:

Synopsis: The Educator Licensure budget is fully fee-funded, provides for all activities of the Offices of Educator Licensure, and includes the budget for the Commission on Professional Standards in Education. This budget account also funds the fingerprint clearance and background check processes; investigation of public and employer complaints of misconduct; and the statutorily mandated tracking, facilitation, and reporting of the licensure discipline process by the State Board of Education. Additionally, the Online Portal for Applications and Licensure (OPAL) is supported by this budget. OPAL will also allow for adherence to mandated data collection and reporting regarding the inequitable distribution of fully certified, experienced, and effective educators serving all students in accordance with the federal Every Student Succeeds Act. Authority: NRS 391.031 - NRS 391.051; NRS 391.053 - NRS 391.059; NRS 391.320 - NRS 391.161; Assembly Bills 7, 77, and 362 (2017) and Senate Bill 287 (2017) NRS 385.175; NRS 385A.430 - NRS 385A.440.

Synopsis: NRS 385.630 establishes the Office of Parental Involvement and Family Engagement in the department; NRS 385.610 establishes the Advisory Council for Family Engagement. This account provides support for the engagement of families and communities in the education process by reviewing, evaluating, and expanding effective practices and programs implemented by the school districts and public schools.

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 388A.432 - 388A.438.

Synopsis: The goal of the Office of Early Learning and Development is to coordinate birth through third grade state level work to improve the access and quality of early childhood education programs across a variety of settings. The focus is building strong connections between learning experiences across these critical years. This approach necessitates that educational standards, curricula, assessment, instruction, and professional development are strongly aligned across programs starting in infancy through third grade. Authority: NRS 387.652 - 387.658 Grants for Prekindergarten Programs 42 USC 9801 et seq. and 9858, et seq., Executive Order #2013-16.

Synopsis: The purpose of the COVID19 Funding Account is to administer funding received in accordance with the Elementary and Secondary School Emergency Relief (ESSER) Fund, the Coronavirus Aid, Relief, and Economic Security Act (CARES), and the Education Stabilization Fund Program-Governor's Emergency Education Relief Fund (GEER).

Synopsis: The State Public Charter School Authority was created by Senate Bill 212 of the 2011 Legislative Session and authorized the formation of charter schools and provided provisions for the oversight of those schools. Statutory Authority: NRS 388A.010 - 388A.547.

Synopsis: The programs encompassed under the Student and School Support budget account have been authorized by the Elementary and Secondary Education Act (ESEA), as amended by the Every Student Succeeds Act (ESSA) as well as state funding, which provides financial assistance to state educational agencies (SEAs), local educational agencies (LEAs), and schools through a myriad of grants intended to bring about supplemental and enriching learning opportunities to students so that all students can learn to their fullest potentials.

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

Synopsis: The Individuals with Disabilities Education Act provides funding to states through the United States Department of Education. The grants are designed to assist states to provide Free and Appropriate Public Education, special education, and related services, in the least restrictive environment. The services are provided to improve inclusive practices, use of technology, student performance on statewide assessments including alternate assessments; transition from early intervention programs; behavioral success; graduation and drop-out rates; post-secondary outcomes; recruitment, retention, and professional development of special education personnel. Authority: 20 USC 1400 et seq.

Synopsis: The department maintains an automated system of accountability information and a statewide student information system to provide transparency to the public, make longitudinal analyses, satisfy state and federal reporting requirements, and assist in the improvement of student achievement, classroom instruction, and educator performance. This budget includes funding for staff, vendor services, data system operations, all related system hardware and software, and general administrative expenses. Statutory authority: NRS 386.650.

Synopsis: The Teach Nevada Scholarship Program was created in the 2015 Legislative Session through Senate Bill 511 and modified in 2017 through Senate Bill 544, continuing funding with Senate Bill 555 (2019). The purpose of the program is to provide grants to universities, colleges, and providers of alternative licensure programs to award scholarships to students entering teaching programs. Scholarships may be awarded to a recipient in an amount not to exceed $3,000 per semester or $24,000 in the aggregate. Programs will be awarded 75% of each scholarship granted by the state board and will disburse funds in the amount of student tuition costs at the beginning of each semester. The state board shall hold the remaining 25% in an account for distribution to the recipient upon program completion and after teaching in a Nevada public school for five consecutive years.

Synopsis: The District Support Services 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 Pupil-Centered Funding Plan, 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: The Department Support Services 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. Staff and operating expenditures for the provision of information technology services to department staff are maintained through this account.

Synopsis: The Office of Safe and Respectful Learning Environments is responsible for monitoring compliance and supporting school districts with applicable school and student safety laws inclusive of behavioral and physical health. This office will establish programs of training to improve school climate and prevent, identify, and report incidents of bullying and cyber-bullying, school safety reporting, suicide prevention, and restorative/discipline practices. In addition, this office will implement and monitor the SafeVoice and Handle with Care Programs, and support districts in their planning for emergency management, social emotional learning, tiered systems of support, and Discipline/Restorative Practices Plans. Statutory authority: NRS 388.121-145 (Climate and School Safety), NRS 388.229-266 (Emergency/Crisis Management), NRS 392.420-455 (Health and Safety) and NRS 392.461-472 (Behavior and Discipline).

Synopsis: The Nevada Historical Society collects and preserves Nevada's historically significant manuscripts, photographs, books, maps, newspapers, and other artifacts. The agency makes them available to the public through library/archives; educational formats including on-site and off-site exhibit galleries; and educational programs and publications such as the Nevada Historical Society Quarterly. The agency provides researchers with the most comprehensive collections of Nevada related historical documents available in a single location and presents an active public events and exhibits schedule to include school, youth, adult, and family programs. Statutory Authority: NRS 381.

Synopsis: The Supreme Court's Law Library serves as a comprehensive, current, and archival legal research facility for the Supreme Court while also providing legal research services to the Office of the Attorney General, the Legislature, other state and local governmental agencies, the state bar and the public. It is the collection of last resort for legal materials in the state. Its website provides pro se information and forms. The budget is funded through a General Fund appropriation. Statutory authority: NRS 2.410 through NRS 2.490.

Synopsis: The Nevada State Library, Archives and Public Records is the institutional memory of the state and is responsible for preserving and developing the state's most valuable assets: its heritage, the collective product of its people, resources, business endeavors, and government. The State Library offers unique resources to Nevada's citizens, libraries, local governments, state agencies, and businesses. These resources include a full range of information and reference services; library planning and development; and services designed for citizens with disabilities. The State Library houses the State Data Center, which offers census information statewide. The library functions as a depository of U.S. government documents and operates the State Publications Distribution Center, which distributes official state government documents electronically statewide to ensure Nevada citizens have free access to state government publications. The State Library also develops state information policies to ensure equal access to government information is available in all formats. Library development services provide leadership, grants, and other assistance to Nevada's libraries; archives and literacy to communities to improve services for all Nevadans; general consulting; administration of funds for improvement of library services; collaboration with local, state, and federal agencies to develop and implement programs; and facilitation of statewide planning efforts. The Nevada Talking Book Services provides access to the National Library Service program of audio and braille books and magazines plus digital players to all Nevada residents of all ages who qualify due to visual and/or physical impairments or a reading disability. Statutory Authority: NRS 378.010 through 378.210.

Synopsis: Founded in 1971, Nevada Humanities is an independent, 501(c)(3) non-profit, nationally recognized program that works in partnership with local communities to develop and fund humanities-based cultural and educational programs. Nevada's state humanities council was established under provisions contained in the 1965 federal legislation creating the National Endowment for the Humanities (U.S. Code: Title 20, Chapter 26, Subchapter 1 Sec. 956 (f) (1-7)). Nevada Humanities creates an environment conducive to the cultivation of local culture, community health and resilience, economic development, heritage tourism, lifelong learning, and quality K-12 education by fostering public humanities activities such as literacy programs, workshops, lectures, exhibitions, publications, book festivals, teacher institutes, documentary films, and a humanities grantmaking program that subawards federal funds to Nevada non-profit organizations across the state. After four consecutive biennia of legislative provisions of one-shot funding to support a southern Nevada office, the 2005 Legislature converted the one-shot funding request to an ongoing General Fund appropriation. Statutory Authority: NRS 231.8171-8179.

Synopsis: The Nevada Library Cooperative (Co-Op) is a regional network of libraries formed in 1981 under the authority of NRS 379.1475 for the purpose of facilitating regional cooperation and sharing of resources. Member libraries include public, academic, and special collections including the Sparks Heritage Research Museum, the Nevada Historical Society, Nevada State Museum (Las Vegas) and the Nevada State Library, Archives and Public Records. The Co-Op's mission is to develop and enhance library services and activities extending beyond the jurisdiction of any single participating library. The Co-Op's budget is funded primarily through membership fees and the governing board approves funding, develops, operates, and maintains services for the benefit of the public. The Co-Op's Integrated Library System manages a shared catalog of over 1.1 million items including books, digital content, searchable databases, photographs, manuscripts and more. The Co-Op's interlibrary loan program extends availability of its catalog to patrons in the most remote areas of Nevada. Member libraries are also able to individualize services through a "cafeteria plan" of options enhancing library operations and development made affordable through the increased buying power of the Co-Op. Statutory Authority: NRS 379.147 through 379.150 and 277.080 through 277.180.

Synopsis: The Nevada State Museum, located in the state capital of Carson City, is the state's largest museum. Housed in the historic 1869 Carson City Mint building and listed on the National Register of Historic Places, the museum is an icon and historical artifact. The museum serves the public through extensive collections, education, and exhibition programs related to Nevada's rich heritage of prehistory, history and natural history. The museum preserves collections at several locations, including the Marjorie Russell Clothing and Textile Research Center and the Indian Hills Curatorial Center. The museum also provides technical assistance for Nevada's non-state museums' public history support for a variety of reference and public program requests and fosters occasional archaeological and natural history fieldwork. America's largest exhibited Imperial Mammoth; Dat So La Lee Baskets; "U.S.S. Nevada" silver service; a replica walkthrough mine and ghost town; and Coin Press No. 1 are all on exhibit. Statutory Authority: NRS 381.

Synopsis: The Division of Museums and History Office of the Administrator is responsible for oversight and administration of the division office and the statewide museum system including: the Nevada State Museum; the Nevada State Railroad Museum located in Carson City, the Nevada Historical Society located in Reno; the East Ely Railroad Depot Museum; the Lost City Museum located in Overton; the Nevada State Museum located in Las Vegas; and the Nevada State Railroad Museum located in Boulder City. The state museum system is responsible for the collection, preservation, education, community development (cultural tourism), and the interpretation of objects and documents representing Nevada's history, while developing and preserving these collections for the public. Statutory Authority: NRS 381.

Synopsis: The Nevada State Museum, Las Vegas, located at the Las Vegas Springs Preserve, is a 70,000 square foot facility that serves the public through collecting, preserving and interpreting artifacts, specimens and historical documents representing southern Nevada with emphasis on its relationship to the Mojave Desert. Long-term and short-term exhibit galleries feature prehistory, history and natural history collections of interest to residents and tourists. Public library and archives contain premier southern Nevada historical photographs and records for use by regional residents and researchers. The museum also has an education program that serves schools as well as residents and out-of-state visitors through programs, tours, workshops, and events. Statutory Authority: NRS 381.

Synopsis: The Special Projects account contains programs not directly related to any of the other Nevada System of Higher Education appropriations. These funds are used as cost-share on research and public service grants with a science, technology, engineering, and math component and to support administration of grants, as well as research infrastructure development and support state-wide. The major projects include the Established Program to Stimulate Competitive Research (EPSCoR) funded by the National Science Foundation and National Aeronautics and Space Administration. The goal of EPSCoR is to stimulate sustainable improvements in the quality of academic science, research workforce, economic development, and technology infrastructure of eligible states.

Synopsis: The 1995 Legislative Session created the Trust Account for the Education of Dependent Children. To qualify, a student must be a dependent child of a public safety officer who was killed in the line of duty, or any other public employee who was killed in the performance of his or her duties. The fund shall pay all registration fees, laboratory fees, and expenses for required textbooks and course materials assessed against or incurred by the dependent child under the age of 23 for classes taken in satisfaction of requirements of an undergraduate degree at a school within the Nevada System of Higher Education. The Board of Regents administers the account. Statutory Authority: NRS 396.545.

Synopsis: The Nevada Arts Council is the sole and official agency of the state to receive and distribute funds from the National Endowment for the Arts. The Nevada Arts Council was established in 1967 to enrich the cultural life of the state through leadership and programs that preserve, support, strengthen and make accessible excellence in the arts for citizens and tourists alike. Nevada Arts Council accomplishes this through: awarding grants that strengthen a breadth of arts and cultural activities throughout Nevada; designing and managing outreach programs and initiatives available to all geographic regions of the state; providing professional development opportunities; and maintaining active partnerships with communities and tribal organizations, schools and educators, arts organizations and artists, nonprofit and for-profit businesses, and state agencies. The Nevada Arts Council manages six programs: Artist Services, Arts Learning, Community Arts Development, Folklife, Grants, Public Information, and Arts Initiatives. Statutory Authority: NRS 233C.

Synopsis: Founded in 1874 as Nevada's land-grant university, the University of Nevada, Reno is driven to provide a better future to the citizens of Nevada by contributing a culture of student success, world-improving research, and outreach that enhances communities and businesses. The university is organized into Colleges of Agriculture, Biotechnology, and Natural Resources; Business; Education and Human Development; Engineering; Liberal Arts; and Science. It also consists of the Reynolds School of Journalism and Health Science schools, encompassing the University of Nevada School of Medicine, School of Public Health, School of Social Work, and Orvis School of Nursing. As an "R1" institution, classified by the Carnegie Classification of Institutions of Higher Education, the university extends outreach and education to all Nevada counties through the Nevada Cooperative Extension and Nevada Small Business Development Centers.

Synopsis: The fully accredited University of Nevada, Reno School of Medicine provides 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.

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, Alpine Skiing, Women's Softball, Soccer, Swimming and Diving, Volleyball, Track, and Cross Country.

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. Authority: Article 11, Section 4 of the State of Nevada Constitution and NRS Chapter 396.

Synopsis: The University of Nevada, Las Vegas is organized into the following Colleges and Schools: Lee Business School, School of Dental Medicine, College of Education, Howard R. Hughes College of Engineering, College of Fine Arts, William F. Harrah College of Hospitality, School of Integrated Health Sciences, William S. Boyd School of Law, College of Liberal Arts, Kirk Kerkorian School of Medicine, School of Nursing, School of Public Health, College of Sciences, and Greenspun College of Urban Affairs. The colleges and schools combine with various departments, divisions, and programs 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 academic, athletic, and personal development of the student athlete.

Synopsis: This Agricultural Experiment Station is the organized research arm of the University of Nevada, Reno, College of Agriculture, Biotechnology, and Natural Resources. Statutory authority: NRS 396.600.

Synopsis: Nevada Cooperative Extension's mission is to discover, develop, disseminate, preserve, and use knowledge to strengthen the social, economic, and environmental well-being of Nevadans. Statutory authority: NRS 396.010(2).

Synopsis: System Computing Center (System Computing Services or SCS) serves the Nevada System of Higher Education (NSHE) institutions, as well as federal, state, and county agencies throughout Nevada. NevadaNet enables broadband expansion and digital equity solutions across the state. SCS provides the shared digital services that support all NSHE institutions, including student, human capital, financial information systems, and cybersecurity services.

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; produce high quality legal scholarship; participate in continuing education programs; provide a high-quality law library; help to meet the need for legal services through clinical programs, externships, and pro bono services; and provide a forum for the discussion of important public issues.

Synopsis: Great Basin College (GBC) serves 10 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 has over 10 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, such as two-way interactive video and online modes, are utilized extensively to deliver programs throughout the service area. Students can complete over 15 degrees entirely through online education. In addition, GBC offers a wide range of dual enrollment opportunities to high school students.

Synopsis: The Nevada Western Interstate Commission for Higher Education (WICHE) carries out the goals and objectives as provided for by the Nevada WICHE Commission and the WICHE multistate regional compact. The agency operates two programs, both of which provide tuition assistance to individuals studying various allied health professions in exchange for employment commitments upon graduation. Employment commitments serve as a tool to increase Nevada's health profession workforce. Statutory authority: NRS 397.062.

Synopsis: The University Press is organized as a public service arm of the Nevada System of Higher Education to contribute to the history and literature of Nevada and the Western United States; stimulate scholarly research and writing by faculty members; and 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 University of Nevada, Las Vegas 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 skilled dentists to address oral health needs in Nevada. The vision for the SDM is to provide world-class oral health education while providing for the dental needs of Nevada residents. The SDM has continually sought to provide excellence in patient-centered clinical care, patient education, and statewide community outreach programs.

Synopsis: This Business Center North 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: The 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 University (NSU) is part of the Nevada System of Higher Education and exists to deliver high-quality degrees for the new majority. NSU boldly defines the new majority as first-generation students, adult learners, students of color, Dreamers, immigrants, and anyone looking for the opportunity to improve their economic mobility. NSU's purpose is to create and expand the new majority's participation in higher education, while at the same time, increasing income mobility and wealth for all Nevadans. NSU acts with intention to design, redesign, and reinvent its campus as necessary to break down historic barriers that prevent learning. NSU does this by focusing on great teaching, transformative student experiences, empowering employees, and creating strategic alliances that advance its mission. NSU offers a wide range of baccalaureate programs and select master's programs designed to meet the general needs of the state. NSU will continue to be a community where anyone can belong.

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 an additional specialized laboratory in Boulder City, Nevada. 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. Statutory authority: NRS 396.795 through NRS 396.7956.

Synopsis: Founded in 1971, the College of Southern Nevada primarily serves Clark County by providing educational and supporting services to address the social and economic needs of the community. Traditional and online programs leading to bachelor degrees, associate degrees, certificates of achievement, and selected skills certificates are offered in liberal arts as well as career and technical areas. Transfer agreements with the universities and the state college provide students with advanced learning opportunities. Additionally, the college works with the region's businesses and industry sectors to develop and facilitate training programs to meet the needs of southern Nevada's workforce.

Synopsis: Western Nevada College (WNC) serves approximately 5,000 students each year across a 12,015 square mile service area as well as online. The college has campuses in Carson City, Minden, and Fallon, and maintains educational sites in Fernley, Yerington, and Hawthorne. WNC offers workforce and university transfer programs, non-credit and developmental programs coupled with a variety of student support services to help students succeed.

Synopsis: The Performance Funding Pool for instructional budgets was implemented during the 2013 Legislative Session. The Performance Funding Pool is a General Fund appropriation carve-out of existing funding that started in fiscal year 2015 and was set at 5% in the first year then incrementally increases by 5% each year for four fiscal years, until it was capped at 20% in fiscal year 2018.

Synopsis: The University of Nevada, Las Vegas (UNLV) School of Medicine's vision is to create a world-class center of excellence and innovation for medical education, patient care, and research that prepares Nevada's physicians with the most advanced knowledge, treatments, and technologies while serving the health care needs of our diverse urban community. The UNLV School of Medicine welcomed its first class in Fall 2017.

Synopsis: The Silver State Opportunity Grant is a needs-based financial aid program established, pursuant to Senate Bill 227 of the 2015 Legislative session, to provide grants to pay a portion of the cost of education for eligible students enrolled in a state or community college within the Nevada System of Higher Education. Statutory authority: NRS 396.950 to NRS 396.960.

Synopsis: The Prison Education Program was established to create a two-year postsecondary education program for inmates who are nearing release from Nevada prisons. The program provides higher education and workforce readiness opportunities for program participants with the goal of increasing their future employability.

Synopsis: Truckee Meadows Community College (TMCC) is a comprehensive community college located in Reno and is part of the Nevada System of Higher Education. TMCC offers a variety of services with programs designed for academic university transfer, career and technical education, high school dual credit, workforce development, adult basic education, outreach and specialized training programs. Today, the college serves more than 25,000 students each year in credit and non-credit programs at five educational sites and more than 20 community locations in Reno/Sparks area and nearby communities.

Synopsis: The Nevada Patient Protection Commission is comprised of 12 voting members appointed by the Governor who are a multi-faceted team of health care experts, advocates, providers, and industry professionals dedicated to improving health care in Nevada through a systemic, comprehensive review of the state's health care system, which includes reviewing the challenges and initiatives surrounding the quality, accessibility, and affordability of health care statewide. The Commission is also charged with making informed recommendations to the Governor and Legislature designed to improve health care for all Nevadans. Statutory Authority: NRS 439.902 - 439.918.

Synopsis: Senate Bill 390 of the 81st Session amended NRS 433 to create the Fund for a Resilient Nevada. The Fund is overseen by the Department of Human Services Director's Office to address the impacts, risks, and harms of opioid use. Funds are deposited by the Attorney General, after deducting any fees and costs imposed pursuant to an applicable contingent fee contract as described in NRS 228.111, pursuant to any judgment received or settlement entered into by the State of Nevada as a result of litigation concerning the manufacture, distribution, sale or marketing of opioids conducted in accordance with the declaration of findings issued by the Governor and the Attorney General. The annual allocation for administrative expenses from the Fund must not exceed eight percent of the money deposited into the Fund or the maximum allowed within the settlements. Money from the Fund must also be spent on a statewide needs assessment and statewide plan at least once every four years to allocate the money in the Fund in accordance with NRS 433.738. Statutory Authority: NRS 433.726-433.744 inclusive.

Synopsis: The Radiation Control Program (RCP) protects radiation workers, members of the public, and the environment by regulating sources of ionizing radiation and provides information to stakeholders concerning radiation. The RCP maintains a regulatory program that is compatible with the U.S. Nuclear Regulatory Commission including licensing and inspecting radioactive material users; performing federal mammography inspections under contract with the U.S. Food and Drug Administration; registering and inspecting radiation producing machines; maintaining a mammography program that includes authorizing and inspecting mammography facilities pursuant to NRS 457; issuing licenses to persons who engage in radiation therapy and radiologic imaging; licensing and providing oversight of the closed low-level radioactive waste disposal site near Beatty, Nevada; coordinating and participating in responses to incidents involving radioactive materials and other statewide radiological emergency response activities. Statutory Authority: NRS 457, 459 and 653.

Synopsis: The Aging and Disability Services Division supports grants for existing or new programs that assist senior citizens, children, and persons with disabilities 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. Statutory Authority: NRS 439.630

Synopsis: This budget account provides funding for the Washoe County Human Services Agency (WCHSA) to operate child welfare programs. These programs include Adoption Assistance, Foster Care Assistance, and Kinship Guardianship Assistance. Federal Title IV-E, Federal Title IV-B subpart 1, Child Support Enforcement receipts, and General Fund appropriations pass through this budget account to WCHSA. Statutory authority: NRS 432B.2185 and 432B.219.

Synopsis: This budget account provides funding for the Clark County Department of Family Services (CCDFS) to operate child welfare programs. These programs include Adoption Assistance, Foster Care Assistance, and Kinship Guardianship Assistance. Federal Title IV-E, Federal Title IV-B subpart 1, Child Support Enforcement receipts, and General Fund appropriations pass through this budget account to CCDFS. Statutory authority: NRS 432B.2185 through 432B.219.

Synopsis: Information Services (IS), formerly UNITY/SACWIS, is the unit within the Division of Child and Family Services (DCFS) that supports the technology needs of the state and county agencies for child welfare. IS maintains three major computer applications: Unified Nevada Information Technology for Youth (UNITY), Tyler Supervision, and myAvatar. UNITY is a federally mandated comprehensive child welfare information system that is required by child welfare agencies nationwide to submit adoption and foster care information electronically to the Administration for Children and Families. UNITY became fully operational statewide in September 2003 and has been modified extensively to help meet the changing business requirements of the organization. Implemented in 2018, Tyler Supervision is the case management system for the Youth Parole Bureau. Operational since 2005, myAvatar is the Health Insurance Portability and Accountability Act-compliant case management and billing system that supports children's mental health. Additionally, IS provides helpdesk support and application training to the three Nevada child welfare agencies (DCFS, Clark County Department of Family Services, and Washoe County Human Services Agency) as well as division-wide network and desktop computer support.

Synopsis: The Division of Child and Family Services (DCFS) is responsible for child protective and child welfare service delivery in rural Nevada and overseeing urban county-operated child protective and welfare services. DCFS provides children's mental/behavioral health treatment and residential services in urban Nevada. DCFS provides juvenile justice services including state-operated youth correctional care centers and the youth parole program. DCFS also provides victim services to victims of crime through subawards and offers compensation to victims of crime. Mission: The DCFS, in partnership with families and communities, provides support and services to assist Nevada's children and families in reaching their full human potential. Statutory Authority: NRS 432.

Synopsis: The Division of Child and Family Services (DCFS) is responsible for the quality and oversight of programs and services in the Child Welfare, youth mental health, and juvenile justice systems. Within DCFS, the Family Programs Office and Programs Evaluation Unit focus on quality and fidelity in the child welfare system. The Children's Behavioral Health Authority (Authority) is tasked with overseeing the network adequacy and quality of a complete System of Care Program continuum of community-based services and supports for youth with, or who are at risk for, mental health challenges. The Authority also focuses on ensuring that youth are placed in the least restrictive, highest-quality services to meet their needs, with the ability to move fluidly through the system based on current assessment. Statutory Authority: NRS 433, 433A, and 433B.

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 as delinquent by Nevada courts. There are three regional facilities. Two of the camps are in Douglas County (China Spring Youth Camp and Aurora Pines Youth Camp) and one is in Clark County (Spring Mountain Youth Camp). The China Spring and Aurora Pines Youth Camps are dedicated to helping approximately 40 male and 16 female mid-level offenders between the ages of 12 years old and 18 years old 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 provide residential treatment for approximately 112 youth between the ages of 12 years old and 18 years old. 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 mental health therapists who work with youth prior to placement and through completion of probation. This program operates in cooperation with, and is supported by, local law enforcement agencies, Clark County School District, and various state agencies. Statutory Authority: NRS 62B.150

Synopsis: Summit View Youth Center (SVYC) is a maximum-security youth correctional facility with a maximum capacity of 96 beds that provides programming and services to male juvenile offenders located near the Las Vegas urban center. The facility is approved for 48 state correctional beds for male youth between the ages of 12 and 20. The physically secure nature of SVYC in comparison to the other two DCFS Juvenile Justice facilities allows DCFS to house the state's highest-risk youth in a secure environment. The programming at SVYC 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. Programs include educational services from Clark County School District, mental health services including individual and group counseling, and transition planning. Staff from SVYC coordinate with the Nevada Youth Parole Bureau and the Interstate Compact on Juveniles to ensure youth receive the best possible aftercare services once they are released from SVYC'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 63.

Synopsis: Child Care Licensing ensures the health and safety of children being cared for in licensed facilities, and ensures the equitable and proper treatment of children receiving out-of-home care for compensation and/or subsidy. The Child Care Licensing program is responsible for licensing, permitting, monitoring, and providing technical assistance to child care facilities caring for five or more non-related children for compensation. Statutory Authority: NRS 432A.

Synopsis: The Department of 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 232.290-4983.

Synopsis: This budget account serves as the primary administrative budget and contains functions related to the division operations including general administration, fiscal services, information technology, human resources, and the Elder Rights Attorney. This budget also includes program staff that oversee multiple programs within the Planning, Advocacy, and Community Services Unit. Statutory Authority: NRS 427A.040 and 427A.1219 through 427A.1236.

Synopsis: The 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 Nevada Central Cancer Registry collects, registers, and maintains a record of reportable cases of cancer in the state. The data is used to evaluate the appropriateness of measures for prevention and control of cancer and to conduct comprehensive epidemiological surveys of cancer and cancer related deaths. Data is collected from hospitals, medical laboratories, other facilities that provide screening, diagnostic or therapeutic services, and providers of health care who diagnose or provide treatment to patients with cancer. Statutory Authority: NRS 457.

Synopsis: The Nevada Governor's Council on Developmental Disabilities engages in advocacy, systems change, and capacity building activities for people with developmental disabilities and their families to promote equal opportunity, self-determination, and community inclusion. Authority: Public Law 106.402 and NRS 232.320.1(c)

Synopsis: Family Planning provides grants to local governmental organizations, community health nurses, and nonprofit organizations to provide public health services in support of reproductive health and certain family planning services, immunizations, and identification and/or treatment of sexually transmitted infections to all persons who would otherwise have difficulty obtaining such services because of poverty, lack of insurance, transportation or any other reason. Statutory Authority: NRS 442.710 through 442.745, inclusive.

Synopsis: Nevada's Healthcare Support and Assistance (HSA) Program was developed in response to changes in Medicare Prescription Drug Coverage, which led to a significant decline in the Nevada Senior and Disability Prescription Drug Program membership. Through the Fund for a Healthy Nevada, Nevada's HSA Program offers aid to older adults and persons with disabilities who have modest incomes for the purchase of prescription drugs, pharmaceutical services, and to obtain devices or other services to meet their healthcare needs. HSA programs offer subsidies, direct financial assistance, benefits through local partnerships, or other forms of relief to assist Nevada's most vulnerable population with healthcare related costs. Statutory Authority: NRS 439.600, NAC 439.750 through 439.790; NAC 439.750 through - 439.790; and NRS 439.630.

Synopsis: The Intergovernmental Transfer (IGT) account collects payments from counties and other public entities to be used as non-federal share of Medicaid supplemental payments, thus reducing the need for General Fund appropriations. All payments are deposited to this account and transferred as needed to Nevada Medicaid, budget account 3243, for medical payments and to Health Care Financing and Policy Administration, budget account 3158, for related administrative costs. The IGT account also collects administrative fees for the Division of Health Care Financing & Policy to oversee the supplemental payment programs. All administrative fees are transferred to Nevada Medicaid, budget account 3243, to offset the General Fund portion of medical expenses. 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: The Nevada Health Authority account includes funding for the administrative costs of staff and vendors for the agency, including those staff and vendors that are eligible for federal funds under Title XIX and Title XXI of the Social Security Act. The agency's mission is to improve access to quality and affordable health care in Nevada through new purchasing strategies and sound policies; to promote equal access to health care at an affordable cost to the taxpayers of Nevada; to restrain the growth of health care costs; and to review Medicaid and other state health care programs to maximize potential federal revenue. 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 Increased Quality of Nursing Care budget account was established when 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 used as the non-federal share of a supplemental payment to free standing nursing facilities in Nevada. Supplemental payment amounts are dependent upon Medicaid occupancy, minimum data set accuracy, quality, and acuity components. The funds collected are transferred as needed to Nevada Medicaid, budget account 3243, to make quarterly supplemental payments to skilled nursing facilities caring for Medicaid recipients and to Health Care Financing and Policy Administration, budget account 3158, for related administrative costs. The remainder, if any, is balanced forward to reserve. Statutory Authority: NRS 422.3755 through 422.379.

Synopsis: Southern Nevada Adult Mental Health Services (SNAMHS) assists adults with mental illness through inpatient and outpatient psychiatric and behavioral health treatment and community-based support services. The goal is to support personal recovery, self-empowerment, community integration, and an enhanced quality of life. The Stein Hospital on the SNAMHS campus provides statewide forensic mental health inpatient services in a secure setting and outpatient individuals referred by the court who are in the community on their own recognizance or in a local detention center. The facility also treats clients acquitted not guilty by reason of insanity and dangerous unrecoverable clients committed under NRS 178.461. Statutory Authority: NRS 175, 176,178, 433, 433A, and 433C.

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

Synopsis: The Public Option account was created to design, establish, and operate a public option health benefit plan for Nevadans. The Public Option program was approved in the 2021 Legislative Session.

Synopsis: The Crisis Response Account, created in the 81st regular session, is funded by a surcharge on commercial mobile communications services. The funds must be used to establish a hotline for people having a behavioral health crisis (988), establish and maintain a support center to respond to the crisis calls, establish mobile crisis teams, participate in the collection of information regarding the National Suicide Hotline, and the creation of regulations and reporting on these activities. The fund may not be used to supplant other funds for these purposes and do not revert to the General Fund. Statutory Authority: NRS 433, SB390 (2021), and 42 U.S.C. 290bb-36c.

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 a profound or severe intellectual or developmental disability. 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 or developmental disabilities. 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, briefs, therapy services, special diets, transportation services) and general income supplementation. Statutory Authority: NRS 435.365.

Synopsis: Rural Regional Center (RRC) has offices in eight sites that provide support services for people with intellectual and/or developmental disabilities and their families. RRC serves all Nevada counties except Washoe County and the Las Vegas area in Clark County. RRC provides services to residents of all ages. Most services are funded by Medicaid through the Home and Community Based Waiver and Targeted Case Management. Each individual eligible for services is assigned a Service Coordinator that supports the individual with monitoring, assessing, referral and linkage to requested services through the person-centered planning process, with the goal of self-sufficiency, community inclusion and meaningful life. Additional services provided through RRC include respite; various levels of residential supported living arrangements to include 24 hour and intermittent; job training, day programming, and supported employment; psychological and behavioral assessments and intervention; nursing assessments and consultations; and quality assurance oversight. Statutory Authority: NRS 433 and 435.

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

Synopsis: The Behavioral Health Prevention and Treatment program partners with community-based, public, and private nonprofit organizations to reduce the impact of addiction as well as establish comprehensive mental services in Nevada. The program is responsible for developing community infrastructure, statewide leadership, and strategic planning. The program provides prevention activities related to suicide and other behavioral health conditions. The program reimburses providers for the provision of responsive mental health, substance use, and addiction services when those services are not reimbursable by Medicaid or another third-party payer. Statutory Authority: NRS 433, 433A, 433B, and 458.

Synopsis: The Division of Environmental Protection's mission is to preserve and enhance the environment of the state to protect public health, sustain healthy ecosystems, and contribute to a vibrant economy. The Division implements state and federal environmental laws related to outdoor air, land, and water; provides financial and technical assistance related to drinking water and wastewater systems; oversees clean-up of contaminated soil and water; administers the State Petroleum Fund; and provides public education programs. This budget account supports the Bureau of Administrative Services, which provides administrative services to the Division and includes the Administrator, Deputy Administrators, and Administrative Assistants; the Offices of Fiscal Management, Information Management, and Human Resources; contract and grants management; and publications and editing services. These positions provide centralized management, accounting, information technology, and other administrative support services for the Division. Statutory Authority: NRS 232.136, 278.335, 278.377, 444.440-.645, 444A.010-.110, 445A.060-.955, 445B.100-.640, 459.380-.856, 519A.010-.280, and 618.775.

Synopsis: The Bureau of Industrial Site Cleanup (BISC) is responsible for regulatory oversight of assessment and corrective action at contaminated sites. The budget funds regulatory oversight of investigation and cleanup of hazardous substance releases from six major industrial sites near Henderson. In addition, BISC oversees the Nevada Environmental Response Trust as well as the evaluation and cleanup of perchlorate and other hazardous substances released from the Nevada Environmental Response Trust, former Kerr-McGee/Tronox site in southern Nevada. Statutory Authority: NRS 445A.425, 459.425, and 459.537.

Synopsis: The Improve Health Care Quality and Access account was created to establish a provider tax on Medicaid providers pursuant to NRS 422.3794. The intent of this program is to enhance the rate of reimbursement for Medicaid Fee-For-Services and to increase case management and care coordination aimed at improving patient outcomes within managed care plans in Nevada. The tax rate is based on a percentage of net patient revenues assessed on inpatient and outpatient hospital services rendered by private hospitals (42 CFR 433.68). The proceeds of the tax are deposited to this account and used as the non-federal share of a supplemental payment to private hospitals in Nevada. The Division retains a 15% administrative fee for operations and state risk. The funds collected are transferred on a quarterly basis to Nevada Medicaid, budget account 3243, to make supplemental payments to private hospitals caring for Medicaid recipients and to Health Care Financing and Policy Administration, budget account 3158, for related administrative costs. The remainder, if any, is balanced forward to reserve. Statutory Authority: NRS 422.3791 through 422.3795.

Synopsis: The Nevada Check Up Program was established when Nevada initiated a Children's Health Insurance Program (CHIP) in 1998. 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 or is it part of the Medicaid Program. Families are assessed quarterly premiums based on family size and income. The Division of Social Services and the Nevada Health Authority, Office of Analytics provide recipient caseload forecasts. Cost-per-eligible recipient 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 432A.300, NRS 422, Federal Title XXI of the Social Security Act, and Section 42 of the Code of Federal Regulations.

Synopsis: The Caliente Youth Center (CYC) is a staff secure juvenile correctional facility located 150 miles north of Las Vegas in Caliente. There are 7 housing units situated on 35 acres. During the 82nd Legislative session, bed space was reduced from 112 youth to 80 youth. CYC serves male and female youth between 12 years old and 19 years old. CYC is authorized and governed by NRS 63, State Facilities for Detention of Children, and those applicable statutes contained within NRS 62A, Juvenile Justice General Provisions. The programming at CYC addresses delinquent youth who may have also 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 63.

Synopsis: The Victims of Domestic or Sexual Violence program awards grants to non-profit entities statewide to provide direct services to victims of domestic violence and sexual assault. Services include shelter, phone crisis access, emergency assistance, advocacy, hospital accompaniment, and counseling. Viable programs are sustained in all 17 Nevada counties with trained staff and volunteers. Funding for this program comes from marriage license fees. The Account for Aid for Victims of Domestic or Sexual Violence, referred to as Marriage License Funding, was established for the purpose of managing these funds. The DCFS is responsible for monitoring the programs to ensure compliance with NRS 217.400 through NRS 217.460 for granting funds from the Account for Aid for Victims of Domestic or Sexual Violence, maintaining financial records, and evaluating services provided. Statutory Authority: NRS 217.

Synopsis: The mission of the Bureau of Air Pollution Control and Air Quality Planning is to achieve, and maintain levels of air quality, which will protect human health and safety; prevent injury to plant and animal life; prevent damage to property; preserve visibility and scenic, aesthetic and historic values of the state; and implement provisions at the facility level to prevent accidental chemical releases in the state. To accomplish this mission, staff assigned to these bureaus plan, direct, coordinate, and control air quality monitoring, permitting, and compliance assurance. This budget account is mainly funded by federal grants and fees. Statutory Authority: NRS 445B.100-.845, and 459.380-.3874.

Synopsis: The Bureau of Water Pollution Control ensures compliance with water pollution control laws by issuing permits for discharges to surface and ground water; by inspecting facilities to ensure compliance and enforcement actions are taken when necessary; and reviewing the design of wastewater treatment plants and infrastructure to ensure subdivisions have adequate systems/infrastructures in place to treat wastewater. This budget account is funded by fees and federal grants. Statutory Authority: NRS 445A.300-.730, portions of NRS 278.330-.460.

Synopsis: This budget account includes the Bureau of Sustainable Materials Management, the Bureau of Corrective Actions, and the Bureau of Federal Facilities. The Bureau of Sustainable Materials Management is responsible for promoting/enhancing sustainable material management programs, and ensuring safe management, collection, and disposal of hazardous/solid waste through regulation of handling, transportation, treatment, storage, and disposal. The bureau also encourages businesses, institutions, and individuals to reduce the amount of waste generated, participate in recycling programs, and conserve natural resources. This budget account is funded by federal grants and fees. Statutory Authority: NRS 444.440 - 444.645; 444A.010 - 444A.120; 445A.300 - 445A.730; 445C.010 - 445C.120; and 459.400 - 459.600. The Bureau of Corrective Actions is responsible for regulating the analysis and remediation of contaminated sites; the certification of environmental consultants; the regulation of underground storage tank compliance; regulating analysis and remediation of leaking underground storage tanks; and administration of the fund for cleaning up discharges of petroleum. Statutory Authority NRS: 445A.425; 445C.150 - 445C.410; 459.485; 459.500; 459.826; 459.830; 459.832, and 459.834. The Bureau of Federal Facilities provides programmatic and regulatory oversight of the U.S. Department of Energy's operational activities, environmental restoration, and waste management programs at the Nevada National Security Site, Tonopah Test Range, Central Nevada Test Area, and Project Shoal Area in Nevada to ensure compliance with environmental regulations. Statutory Authority: NRS 444.440 - 444.645; 445A.060 - 445A.955; 445C.010 - 445C.410; 459.400 - 459.600; and 459.800 - 459.856.

Synopsis: It is the mission of the Bureau of Mining Regulation and Reclamation (BMRR) to ensure Nevada's surface and groundwaters are not degraded by mining operations, and lands disturbed by mining operations are reclaimed to safe and stable conditions to ensure a productive post-mining land use. Facilities utilizing chemicals for processing ores are generally required to meet a zero-discharge performance standard. BMRR works collaboratively with the mining industry and the public to achieve its mission. This budget account is fully funded by permitting fees and is comprised of three technical units: Regulation, Closure and Reclamation. These units perform a variety of plan reviews, permitting, inspection, compliance monitoring, and enforcement activities to ensure the design, construction, operation, closure, and reclamation of mining and exploration operations. Operators must file a financial assurance/guarantee with the division or federal land manager to ensure that reclamation of the mine site will be completed should an operator default on a project. The Regulation and Closure branches regulate mining in Nevada under the authority of NRS 445A.300-445A.730 and NAC 445A.350-447. The reclamation branch regulates mining in Nevada under the authority of NRS 519A.010-.280 and NAC 519A.010-415.

Synopsis: This budget account provides staff and administrative support for the State Revolving Loan program, which provides low-cost financing for wastewater, storm water, and drinking water infrastructure improvements that are needed to achieve compliance with applicable environmental standards. This budget account is funded by federal grants, Treasurer's interest income and loan fees. Statutory Authority: NRS 445A.060-.160 and 445A.200-.295.

Synopsis: Health Statistics and Planning (HSP) issues certified birth and death certificates, maintains, and protects all vital records, processes all legal corrections and amendments to these vital records. HSP participates in the National Vital Statistics System and responds to the data and statistical needs of federal, state, and county agencies, policy makers, and researchers. Vital Statistics are an integral part of the public health infrastructure that collects data and provides information used for policy and decision making. This information is often key in the complicated adoption process, establishment of paternities, amendment of records, and most importantly, the establishment of identities which enable the general population to become eligible to secure benefits and services from both public and private sector agencies. Statutory Authority: NRS 440

Synopsis: The Bureau of Water Quality Planning is responsible for implementing programs to meet requirements of the Clean Water Act and Nevada water quality statutes and regulations that protect and/or improve the chemical, physical, and biological integrity of the waters of Nevada. Bureau staff conduct water quality testing; bio-assessment and physical habitat monitoring; develop and/or revise water quality standards for adoption by the State Environmental Commission; develop the impaired waters list; develop total maximum daily loads and/or watershed implementation plans to address water quality impairments; issue certifications to ensure that proposed discharges meet applicable effluent limitations and water quality standards; assist in the development and review of area-wide waste management plans; mitigate the adverse effects from nonpoint source pollution through implementation of water quality improvement and public education projects; promote intra-and inter-agency program coordination; and rating programs to meet requirements of the Clean Water Act and Nevada water quality statutes and regulations that protect and/or improve the chemical, physical, and biological integrity of the waters of Nevada. Bureau staff develop and/or revise water quality standards for adoption by the State Environmental Commission; conduct water quality testing and biological and physical habitat monitoring; use water quality data to assess surface waterbody health and identify and prioritize impaired waters; develop total maximum daily loads and/or watershed implementation plans to address water quality impairments; coordinate with and provide grant funding to partners to mitigate the adverse effects from nonpoint source pollution to improve and protect water quality; and issue 401 water quality certifications to ensure that proposed discharges to waters of the US will not violate water quality standards. This budget account is funded by federal grants. Fees collected through the Bureau of Water Pollution Control National Pollutant Discharge Elimination System permit programs are used as the state match to the Federal Clean Water Act, Section 106 grant. Statutory Authority: NRS 445A.300-.730.

Synopsis: To help protect public health, Environmental Health Services issues permits, educates businesses and enforces Nevada laws in the following areas: food protection, bottled water, cosmetics, public accommodations, recreational vehicle parks, public bathing and swimming waters, institutional environmental health, onsite septic systems, and invasive body decoration. The Environmental Health Section provides emergency responses to potential environmental health hazards. Statutory Authority: NRS 202, 211, 439, 444, 446, 447, 583, 585, 586, and 625A.

Synopsis: The Director's Office Grants Management Unit consolidates the function and management of grant programs that pass funds through to state, county, local and non-profit community level sub-recipients. This unit was created to ensure the standardization of procedures for administration of Federal formula grants and state grant awards; simplification of accounting and co-location of necessary staff to oversee and administer these funds over the performance period of the award; and to adequately award funding, monitor grantee progress, track award progress and collect data on populations served. The efficiencies realized allow the department to use fewer funds for administrative purposes and to pass more funds to the community through grantees providing direct services. Grantees have also benefited from the efficient reimbursement and grant award processing times afforded by the standardized procedures used to request funding. Statutory Authority: NRS 439.620.

Synopsis: The Bureau of Safe Drinking Water implements the Public Water System Supervision Program (PWSSP) and the Laboratory Certification Program (LCP). The PWSSP is authorized under the federal Safe Drinking Water Act (SDWA) and maintains primacy for the State of Nevada. State implementation of the PWSSP ensures Nevada's public water systems comply with state and federal drinking water standards by enforcing the sampling, monitoring, and National Primary Drinking Water standards, including requirements for water quality, surface water treatment, and corrosion control. The program assesses water sources (including identification of potential contaminant sources); assists communities and water systems in developing and implementing source water protection strategies; conducts sanitary surveys; certifies the qualifications of public water system operators; and requires public notification when systems are out of compliance. The bureau also reviews engineering plans for public water systems and the subdivision of land. Additionally, PWSSP provides training, information transfer, and regulatory update presentations at meetings of water industry associations. This program is funded by federal grants and fees. The LCP assesses laboratories and produces information used in regulatory decision-making by division programs in Safe Drinking Water, Water Pollution Control, Mining Regulation and Reclamation, Waste Management, and Corrective Actions. Pursuant to NRS 445A.428, 445A.863, and NRS 459.501, laboratories that perform analyses to meet requirements of the SDWA, Clean Water Act, and Resource, Conservation and Recovery Act, must be certified by the State of Nevada. Labs analyzing mining methods to meet Mining Regulations must be certified or state approved by the State of Nevada. The LCP program ensures that analyses are conducted according to Environmental Protection Agency and state approved methods with accurate and reproducible results. This program is funded by fees. Statutory Authority: NRS 445A.800-.955, 445A.300-.730, and 459.400-.600.

Synopsis: The Grief Support Trust Account was created in the 79th (2017) Legislative Session pursuant to Senate Bill 355 to support non-profit community organizations that provide grief support services to children who have experienced the loss of a relative or other person who had a significant emotional relationship with the child. Services may also be provided to parents and/or adult caregivers who have experienced the loss of a child. Statutory Authority: NRS 439.

Synopsis: The purpose of this program is to mitigate negative impacts of problem gambling. 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 or to provide services related to the development of data, the assessment of needs, the performance of evaluations or technical assistance. Statutory Authority: NRS 458A

Synopsis: The Children's Trust Account is authorized pursuant to NRS. 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 Analytics (OOA) is part of the Nevada Health Authority (NHA), Director's Office and provides data, statistics, reports, and research to support an array of public health and social services stakeholders such as the Department of Human Services (DHS), DHS Director's Office, DHS Divisions, the Governor's Office, the Legislative Counsel Bureau, state legislators, and other local, state, and federal partners. This centralization supports the department-wide strategy of standardization, collaboration, and capacity building in relation to analytics. Under the technical guidance of the Chief Biostatistician, the OOA serves as a single point of accountability for continual improvements to the consistency and quality of analytic products being produced and disseminated by DHS and the NHA.

Synopsis: The Office for Consumer Health Assistance (OCHA) assists consumers and injured employees with understanding rights and responsibilities under health care plans and policies of industrial insurance. OCHA provides education and advocacy to the insured through an employer, managed care, individual health policies, Employee Retirement Income Security Act, Nevada Workers' Compensation, Medicare, or Medicaid. The Bureau for Hospital Patients mediates, arbitrates, or resolves medical billing disputes between patients and hospitals/providers. Education and advocacy are also provided to uninsured consumers. OCHA provides arbitrations to resolve disputes between out-of-network providers and third parties involving claims less than $5,000 for medically necessary emergency services. The Community Advocate Program provides advocacy and assistance to Nevadans. Services include information and referral, emergency assistance, and outreach. Statutory authority: NRS 232.458; NRS 232.459; NRS 232.461; NRS 232.462; NRS 439B.754; NRS 427A.310

Synopsis: The Communication Access Services program provides communication access to Nevadans who are deaf, hard of hearing, or speech impaired. The program serves Nevadans of all ages and backgrounds, including late-deafened and older adults. Programs include Relay Nevada, providing access to phone services; Communication Access Service Centers, providing instruction in language acquisition, access to education, employment, healthcare and social services, and distribution and training of telecommunication equipment and assistive technology; Sign Language Interpreter and Communication Access Real Time Translation (CART) Registry, managing registry application and renewal, providing information on interpreters and CART providers who meet the minimum qualifications in this state; and Interpreting and Mentorship, providing sign language interpreting for the Executive, Judicial and Legislative branches of state government, as well as mentoring for sign language interpreters in Nevada to enhance their skills in providing quality interpreting services. Statutory Authority: NRS 427A.797; NRS 656A; NAC 656A

Synopsis: The primary purpose of this account is to operate the Board of Applied Behavior Analysis, and oversee the licensure of Behavior Analysts, Assistant Behavior Analysts and Registered Behavior Technicians. Statutory Authority: NRS 437.

Synopsis: Early Intervention Services are provided to children from birth to three years of age 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, childcare and preschool settings, and/or Early Head Start programs. In collaboration with 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 supports specialty clinics for children in the areas of genetic disorders, metabolic disorders and craniofacial anomalies when feasible. Nevada Early Intervention Programs provide early intervention services in all of Nevada's 17 counties. Regional offices are located in Reno, Carson City, Winnemucca, Elko, Ely, and Las Vegas. Statutory Authority: NRS 439.200 Regulations of State Board of Health, NRS 442 Maternal and Child Health, and NRS 427A.878

Synopsis: Autism Treatment Assistance Program (ATAP) assists parents and caregivers with the cost of providing autism-specific treatments to their child with Autism Spectrum Disorder (ASD). ATAP provides a monthly allotment to pay for ongoing treatment development, supervision, and a limited amount of weekly intervention hours based upon a child's individual treatment plan, age, program care enrollment, and authorized representative income. Within ATAP policy guidelines, the monthly allotment is intended to help parents pay for treatment. ATAP only funds treatments that have been proven by research to be evidence-based, including Applied Behavioral Analysis, Verbal Behavioral and Pivotal Response programs. Covered services include parent training, program development and supervision, daily intervention hours, and essential tools and equipment. ATAP may also fund speech, occupational, and physical therapy when other resources do not provide coverage. All ATAP participants receive service coordination services through targeted case management to assist the family with the coordination of community-based services. Statutory Authority: NRS 427A.871 through 427A-8803.

Synopsis: The Immunization Program (IP) works with health agencies, community stakeholders, schools, child-care facilities, and the private medical community to promote vaccinations among infants, children, adolescents, and adults to increase immunization rates and reduce vaccine preventable diseases and outbreaks. IP administers the federal Vaccines for Children Program; develops and promotes maternal and adult immunization education programs; maintains the statewide immunization information system; develops state immunization and vaccine preventable disease regulations and laws; maintains a quality assurance program for county health districts, public health clinics, and private physicians who administer state supplied vaccines. IP prepares for pandemic influenza and prevents the transmission of hepatitis B in Nevada. Statutory Authority: NRS 439 and NRS 441A.

Synopsis: The Special Supplemental Food Program for Women, Infants, and Children (WIC) provides nutritious foods to support the diets of pregnant, postpartum, breastfeeding women, infants and children under age five who have been determined to be at nutritional risk. Participants receive food instruments for healthy foods; nutrition education and counseling; breastfeeding education and support; health screenings; information on or referrals to health care services related, but not limited to immunizations, prenatal care, family planning, and family support services available in their community. Federal Authority: Code of Federal Regulations, Title 7, Chapter II, Part 246, Subparts A through G.

Synopsis: This program works with local health authorities, community-based organizations, Acquired Immune Deficiency Syndrome (AIDS) service organizations and the public to prevent and control Human Immunodeficiency Virus (HIV) and AIDS in Nevada. The program funding and service delivery includes HIV Prevention & Surveillance, Ryan White Part B, AIDS Drug Assistance Program (ADAP), and Housing Opportunities for People with AIDS (HOPWA). The HIV Prevention and Surveillance program includes community planning and the development of an annual comprehensive prevention plan; training and technical assistance to organizations that offer screening and testing; soliciting, receiving, reviewing, and filing HIV/AIDS case reports; determining if case reports meet the HIV infection and AIDS case definitions; maintaining a complete and accurate HIV/AIDS Surveillance database; providing HIV testing to the community and providers and linking those who test positive to HIV to core medical; and supportive services through the Ryan White program. The Ryan White program, inclusive of ADAP includes access to core medical and supportive services, access to medications and assistance with premiums, and co-pays for health insurance to individuals infected with HIV/AIDS. The HOPWA program includes housing assistance, such as tenant-based rental assistance (TBRA), short-term rent, mortgage and utility assistance (STRMU), and supportive services such as case management and permanent housing placement, to reduce the risk of homelessness to those infected and affected by HIV/AIDS and their families. Statutory Authority: NRS 441A and NRS 439.

Synopsis: The budget account for Health Facilities includes medical laboratories, laboratory personnel, environmental health and licensing for other professions and programs. This program assures safety and wellbeing of the public through regulation, licensing, enforcement, and education by assessing regulatory compliance. The program performs periodic inspections and complaint investigations. This program also performs inspections and investigations on behalf of the federal Centers for Medicare and Medicaid Services. This program is granted authority and has responsibility to enforce numerous statutory and regulatory chapters to include: NRS and NAC 449, 449A, 652, 446, 442, 439, 640D, 640E, and 228.

Synopsis: The budget account for Health Facilities and Medical Laboratories Administrative Penalties is funded by administrative sanctions and fines collected from laboratories, facilities and operators of unlicensed facilities that violate laws and regulations associated with laboratories and health facilities. The health facility funds may be used to improve the quality and safety of health care through education, training and other activities in accordance with applicable state laws. Statutory Authority: NRS 449.163, 449.447, 449.093, 449.170, 449.2486, 449.210, and 449.0308. The medical laboratory funds may be used by the division to administer and carry-out the provisions of NRS Chapter 652 and to protect the health, safety and well-being of patients in accordance with applicable state and federal standards when criteria is met. Statutory Authority: NRS 652.260

Synopsis: This program is responsible for preparation, management, and mitigation of public health, and healthcare emergencies caused by natural disasters or terrorism, primary care health planning, provider recruitment and retention. These activities are accomplished through combined health care planning systems and response efforts of various disciplines across the state, such as public health, primary care, emergency management, community services, the health care community, tribes, and law enforcement. All activities and capabilities are being developed to be National Incident Management System compliant. Statutory Authority: NRS 414, 439, 439A, 440, 441A, and 442.

Synopsis: The Office of Public Health Investigations and Epidemiology (OPHIE) conducts disease surveillance; investigates disease outbreaks for rural counties; and provides timely, relevant data and statistics to support public health stakeholders. OPHIE records and analyzes reportable disease information, analyzes data from disease investigations, identifies risk factors, provides education and recommendations on disease prevention, and works with appropriate agencies to enforce communicable disease laws. Statutory Authority: NRS 439 and NRS 441A.

Synopsis: The mission of the Chronic Disease Prevention and Health Promotion (CDPHP) section is to maximize the health of Nevadans by improving policy, systems, and environment that influence quality of life. Programing under CDPHP, includes Alzheimer's and Related Dementias, Comprehensive Cancer, Women's Health Connection, Diabetes Prevention and Control, Heart and Stroke Prevention and Control, Wellness and Prevention, Food Security, Tobacco Control, WISEWOMAN, and Work Site Wellness. Statutory Authority: NRS 439.

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

Synopsis: The Maternal, Child, and Adolescent Health (MCAH) section works to improve the health of Nevada's families with an emphasis on women of childbearing age, pregnant people, infants, children, and adolescents, including children and youth with special health care needs. The MCAH Program promotes, assures, and provides health education, prevention activities, quality assurance, and facilitates access to health care education and resources. Statutory Authority: NRS 442; Title V, 45 CFR 96, Section 501(a)(1)(D) of the Social Security Act.

Synopsis: The Office of Health Administration (OHA) provides support to the programs charged with promoting and protecting the health of all Nevadans and visitors. OHA is responsible for program oversight and accountability, information technology, personnel, and fiscal accountability. The office oversees the enforcement of all laws and regulations pertaining to public and behavioral health along with ensuring adequate services are provided for persons with mental illness, substance use disorders, co-occurring disorders, and other related conditions. The office also supports the State Board of Health and the Commission on Behavioral Health. Statutory Authority: NRS 433 and 439.

Synopsis: Community Health Services (CHS) provides public health services in rural communities which include public health preparedness, epidemiology assistance and public health nursing services. CHS provides public health nursing services including investigation and reporting infectious disease; STI control, prevention, and treatment; HIV testing, counseling and referral for treatment; TB screening, control, prevention, and treatment; vaccine clinics as necessary for outbreaks; and participation in local emergency preparedness committees, board of health meetings, and points of dispensing exercises. Optional health related services include family planning and reproductive health; preventive health care; adult and childhood immunizations; breast and cervical cancer screenings; lab testing; health screenings; topical fluoride varnish treatments; Women, infants, and children services; and outreach and education. Statutory Authority: NAC 439.500 and NRS 439.150, 439.200, 439.200, 441A.250, 441A.350 and 441A.335.

Synopsis: The Division of Social Services Administration budget account funds the administrative expenses associated with ensuring public assistance programs, including: Temporary Assistance for Needy Families; Medicaid; Children's Health Insurance Program; Supplemental Nutrition Assistance Program; Child Care; Energy Assistance; and Child Support 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 services enabling Nevadans who qualify to achieve safe, stable, and healthy lives. 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 15 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 in-home services, 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, permanency services to include reunification, guardianship, other planned living arrangements, and adoption. Additional services to support the child and their family include in-home counseling, Intensive Family Services, early childhood services, and designated outpatient services. Statutory Authority: NRS 432 and 432B.

Synopsis: The Temporary Assistance for Needy Families (TANF) program provides cash assistance to low-income families with children. The program's goal is to reduce the number of families living in poverty, through employment and community resources. TANF is a needs-based program for families with children under age 18 (or under age 19 if the child is in high school) who need financial support because of: death of a parent; parent is absent from the home; physical or mental incapacity; or underemployed/unemployment of parent. The four purposes of TANF are 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. TANF is federally funded through a block grant from the Federal Department of Health and Human Services. Under the maintenance of effort (MOE) provision in the federal regulations, states are required to contribute money equal to 80% of the amount spent on Aid to Families with Dependent Children (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 requirement is $27,145,177. If TANF contingency funds are received, a 100% MOE match is required. The TANF program mandates the state to participate in the Child Support Enforcement Program. 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 or delay of institutionalization results in cost savings for the Medicaid program. The Division of Social Services contracts with the SSA to determine eligibility for 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 Welfare Field Services budget provides staff salaries and operating expenses for the various programs administered by Division of Social Services (DSS). This budget account primarily consists of Family Services Specialists, who determine eligibility for the major program areas, which include: Temporary Assistance for Needy Families; Supplemental Nutrition Assistance Program; various Medicaid programs; and Children's Health Insurance Program. Family Services Specialists, Administrative Assistant IVs, and Social Workers provide employment and support services to assist program participants in overcoming barriers to achieve economic independence. 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 are an integral part of Welfare Field Services responsibility. Welfare 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 Public Health Infrastructure and Improvement program is charged with providing development and oversight of statewide public health infrastructure and improvement efforts. These efforts include workforce development, public health accreditation, data modernization, and quality improvement. Statutory Authority: NRS 439.

Synopsis: Emergency Medical Services promotes and supports 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 Child Support program is a family-first program to ensure families can achieve safe, stable, and healthy lives by making child support a more reliable source of income. Services are available to either parent, when the other parent is living outside the home. Services are offered automatically to families receiving Temporary Assistance for Needy Families. The program works to ensure children have the financial and medical support of both parents, to foster responsible behavior towards children, and to emphasize that children need both parents involved in their lives. In Nevada, this program is administered by the Division Social Services and jointly operated with participating district attorneys' offices. Statutory Authority: NRS 31A and 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 associated with their local child support programs. Currently, nine of Nevada's 17 district attorneys participate in the program providing services of locating the non-custodial parent, establishing paternity, and establishing financial and medical support orders. This budget account was created in 1999 to separate the state's administrative costs in Child Support Enforcement Programs, budget account 3238 from the pass-through of federal funds to the district attorneys. Statutory Authority: NRS 31A and 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. These benefits and other awards, including Social Security and Supplemental Income, must be deposited in the State Treasury for credit to this fund. The Division of Child and Family Services maintains a separate account for each child who receives money and deducts from the account any dollar amounts that were paid with public money for services provided to the child. Surplus balances are distributed in accordance with the guidance provided by the entity that issued the funds. The Treasurer's Office credits accrued interest to each child's separate account which is maintained in the Trust Fund for Child Welfare at the end of each interest period. Statutory Authority: NRS 432.037.

Synopsis: The Nevada Medicaid 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 division's mission is to purchase and provide quality health care services 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 and other state health care programs to maximize potential federal revenue. Federal regulations define mandatory recipient groups to be covered. The Division of Social Services and the Nevada Health Authority, Office of Analytics provide recipient caseload forecasts. Cost-per-eligible recipient 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 was created pursuant to NRS 428.175 and is administered by a Board of Trustees consisting of four county commissioners and one director of a county social services agency appointed by the Governor. To account for Fund activity, the Indigent Hospital Care budget account was established. The Board may enter into an agreement with the Department of Health Authority to provide the state share of certain Medicaid expenditures relating to hospital care. Funds in the account may also be used to reimburse providers of care (through county applications) for unpaid services provided to an indigent person in excess of $25,000. Additionally, counties may be reimbursed for their share of nonfederal long-term care expenditures for indigent persons. Statutory Authority: NRS 428.115 - 428.255.

Synopsis: In relation to NRS 422.4053, The Prescription Drug Rebate account was created to provide transparency of drug rebates pursuant to the Letter of Intent from the 2019 Legislative Session. The state share of the funds is transferred to the Nevada Medicaid, Title XIX, budget account 3243 to support Medicaid expenditures.

Synopsis: The Transition from Foster Care budget account assists persons who turn 18 years old while in foster care in Nevada to transition from foster care to economic self-sufficiency. NRS 247.305 authorizes the collection of a $1.00 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 based on the 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 is balanced forward into the next fiscal year.

Synopsis: The Child Death Review account supports statewide child death review activities by the mandated Administrative Team and the Executive Committee to Review the Death of Children (Committee). The activities of the Committee include: 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 Committee is comprised of an Executive Committee which consists of 11 representatives and an Administrative Team currently consisting of 9 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. Funding in this budget account at the end of any fiscal year remains in the account and is balanced forward into the next fiscal year.

Synopsis: The Blind Business Enterprise of Nevada Program provides entrepreneurial opportunities for individuals who are blind or visually impaired in priority-of-right locations in public buildings statewide for food and beverage services, vending machines, gifts, and/or sundries. Qualified individuals are referred to the program through the Bureau of Services to Persons who are Blind or Visually Impaired and receive individualized training and mentoring such as business management, personnel administration, bookkeeping, food service fundamentals, sanitation, marketing, public relations, inventory control and related topics. Once a trainee successfully completes the training, they are eligible to compete for available vending/cafeteria sites.

Synopsis: The Bureau of Services to Blind or Visually Impaired, provides a full range of services to persons who are blind, deaf/blind, and/or severely visually impaired to assist them in preparing for and achieving competitive, integrated employment and self-sufficiency. Additionally, under the Randolph-Sheppard Act, the Bureau serves as the State Licensing Agent for the Blind Business Enterprise of Nevada Program statewide.

Synopsis: The Tax on Liquor Program supports increasing alcohol and drug use prevention programs, and detoxification and rehabilitation services for individuals. Priority is required to be given to areas with a shortage of alcohol use disorder services, the needs of counties to provide civil protective custody for persons who are found in public places while under the influence of alcohol, secure detoxification units or other appropriate facilities for persons who are arrested or taken into custody while under the influence of a controlled substance, and programs providing prevention services. Statutory Authority: NRS 458.097-1(c).

Synopsis: The Nevada Youth Training Center (NYTC) is a staff secure juvenile correctional facility serving male and female youth between 12 years old and 20 years old who are committed by the state's district courts for correctional care. Bed space of the facility was reduced from 110 to 60 beds during the 77th Legislative Session. Bed space of the facility was then increased to 64 beds in the 79th Legislative Session. The facility is in Elko, Nevada, and operates a junior/senior high school program offering required and elective academic subjects, remedial programs (reading, math, and language), special education, and vocational education. Following the 78th Legislative Session, youth are also able to participate in interscholastic sports including football, basketball, and track and field. Some youths are eligible to participate in college-level courses upon completion of their high school 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 will be able to earn their release once programming goals are completed. Statutory Authority: NRS 63.

Synopsis: Senate Bill 274 of the 77th (2013) Legislative Session amended NRS 433.354, 433B.220, 422A, 427A and 439 that allowed for the creation of the Private Hospital Collaborative Upper Payment Limit (UPL) program. This UPL program allows various divisions within the Department of Human Services to transfer savings associated with certain health care and social services related contract expenditures to this budget account. Savings are realized when budgeted contracted services are funded by an alternative funding source. When requested, funds are transferred to the Division of Health Care Financing and Policy to support the state share of the Private Hospital Collaborative UPL supplemental payment program. Excess funding is reverted to the General Fund or Funds for a Healthy Nevada.

Synopsis: Youth Parole Services provides supervision and case management services to delinquent youth committed to the Division of Child and Family Services (DCFS) by County Juvenile District Courts, for placement at a correctional institution or other placements. Youth Parole Services also supervise youth on parole from other states through the Interstate Compact on Juveniles. Parole aftercare services are provided to youth through a continuum of services starting with youth and family assessment, institutional visitation, and pre-release parole planning with youth while they are in correctional care or other placement. While on parole, each youth is supervised to ensure compliance with conditions of parole and state and local laws. Counseling and guidance services are provided to facilitate the youth's successful participation in an educational and/or vocational program. Youth are referred for basic skills training as well as psychosocial rehabilitation, anger management, substance abuse, gender-specific programming, gang diversion, impulse control, and community-service opportunities. 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 62, 62I, and 63.

Synopsis: The Bureau of Vocational Rehabilitation provides vocationally motivated services to eligible individuals with disabilities to assist them in preparing for and obtaining competitive, integrated employment. The services available under this program are tailored to meet the individual needs of the consumer and may include a broad variety of vocational assessments, career counseling, training, education, job development, job placement, work readiness training, medical treatment/restoration, transportation, and assistive technology to help the individual to prepare for or achieve employment.

Synopsis: This budget account is one of several that fall under the Office of Community Living (OCL) within Aging and Disability Services. OCL is dedicated to supporting older adults, people with disabilities, and family caregivers by providing home and community-based services for individuals to remain independent and reside in the setting of their choice. Statutory Mandate - NRS 427A.250 and NRS 427A.791.

Synopsis: The Child Care and Development Program (CCDP), under the Division of Social Services, administers the Child Care and Development Fund (CCDF). The funding assists income-eligible families, families receiving temporary public assistance, foster families, families dealing with homelessness, children involved with Child Protective Services, and those transitioning from public assistance. The program helps families find and pay for childcare to help all family members achieve their potential. CCDP also funds activities to improve the quality of and access to childcare. CCDP partners with the Division of Public and Behavioral Health, the Nevada Department of Education Office of Early Learning and Development, The Children's Cabinet, Las Vegas Urban League, and other community partners statewide to determine eligibility for childcare subsidy assistance and provide child care resources and referrals. General Fund appropriations pay for the state Maintenance of Effort required to receive federal funding. The Child Care and Development Fund (CCDF) is authorized under the Child Care and Development Block Grant Act (CCDBG) which was enacted under the Omnibus Budget Reconciliation Act of 1990. The CCDBG Act was amended and reauthorized by the Personal Responsibility and Work Opportunity Act of 1996, and again by the CCDBG Act of 2014. Statutory Authority: NRS 422A.055.

Synopsis: The mission of the Rehabilitation Division is to provide options and choices for people with disabilities to work and live independently. Statutory Authority: NRS 232.940-960, 426 and 615.

Synopsis: The mission of the Bureau of Disability Adjudication (BDA) is to provide quality, timely, and professional disability decisions to individuals in Nevada who claim benefits under the Social Security Disability Program. The BDA is 100% federally funded by the Social Security Administration and administered by the Department of Employment, Training and Rehabilitations, Rehabilitation Division. The BDA is responsible for processing all applications for disability benefits under the Social Security Disability Income and Supplemental Security Income disability programs and for conducting evidentiary hearings for those disability beneficiaries who are recommended for benefit termination.

Synopsis: The Nevada P-20 Workforce Reporting system links the various data systems, automating the exchange of data and facilitating the assignment of unique identifiers that will de-identify the data and enable the participating agencies and stakeholders (e.g. Executive Office, Nevada Legislature, Nevada policy makers) to augment their access, research, and reporting capabilities. Legislation enacted during the 2011 Legislative session of the Nevada State Legislature requires linking data for workplace purposes (Senate Bill 449, NRS 397). NRS 612.265 defines the circumstances under which the Administrator of Department of Employment, Training and Rehabilitation, Employment Security Division may share employment information. Statutory Authority: NRS 386.650.

Synopsis: Facility Outreach and Community Integration Services and Money Follows the Person (MFP) Centers for Medicaid and Medicare Services - MFP Rebalancing Demonstration Grant. Statutory Mandate-Section 6071 of the Deficit Reduction ACT of 2005 that established the MFP rebalancing demonstration; extended by the Patient Protection Affordable Care Act of 2010.

Synopsis: The Administrative Services Division consists of the Director's Office, Financial Management, Operations Management, and Human Resources, which supports five divisions: Employment Security, Rehabilitation, Information Development and Processing, Research and Analysis, and the Nevada Equal Rights Commission. The division provides leadership, direction, and support in planning, implementing, coordinating, and evaluating the various services and activities of the department to meet state and federal program goals and assist in the ongoing development of a world-class workforce investment system for Nevada. Statutory Authority: NRS 232.910.

Synopsis: The mission of the Research and Analysis Bureau (R&A) is to provide reliable and timely labor market and economic information and analyses. In partnership with the U.S. Department of Labor, R&A is responsible for the collection, development, and dissemination of a variety of information such as labor force, employment, occupational, economic and demographic data, and analyses important to policymakers, the business community, and Nevada citizens. In addition, R&A provides analytical services and products designed to support the programs administered by the department, state, and local workforce investment boards.

Synopsis: The Department of Employment, Training and Rehabilitation's (DETR), Information Development and Processing Division (IDP) provides data processing and information technology support services throughout DETR. IDP oversees Nevada's workforce and rehabilitation information systems. These systems consist of automated business applications, online web services, and underlying technology infrastructure that support Nevada's employers and job seekers. Each week, DETR's workforce applications process hundreds of online and batch transactions and account for millions of dollars of business activity. IDP ensures high levels of system availability and performance for each of DETR's administered programs. Statutory Authority: NRS 232.910.

Synopsis: The Individuals with Disabilities Education Act (IDEA) Part C office oversees the development and implementation of a statewide, family-centered, community-based, comprehensive, multidisciplinary, interagency service delivery system for infants and toddlers (birth to age three years) with disabilities and their families. Authority: Public Law 108.446.

Synopsis: This budget account includes Planning, Advocacy and Community Services (PAC). The PAC team leads efforts to plan and advocate for services for older adults, family caregivers, and individuals with a disability through enhanced planning, advocacy, and community partnerships. The programs and services offered through this budget account serve people across the lifespan (older adults and persons with disabilities of any age) who are not eligible for services through public entitlement programs or for whom these services do not otherwise exist. Each program is designed to improve a person's independence and to leverage their resources. Many of the programs and services also support Nevada's efforts at Olmstead decision compliance. Statutory Authority: NRS 426, 427A.750 - 427A.860, and 656A; AB200; Americans with Disabilities Act (ADA); Assistive Technology Act (ATA) of 1998, as amended in 2004, P.L. 108-364; Older Americans Act of 1965 as Reauthorized in 2020; Lifespan Respite Care Act of 2016; Workforce Innovation and Opportunity Act; and Medicare Improvements for Patients and Providers Act.

Synopsis: Desert Regional Center (DRC) provides support services for people of all ages with intellectual and/or developmental disabilities and their families. DRC serves the Las Vegas metropolitan area and Boulder City. Most services are funded by Medicaid through the Home and Community Based Waiver and Targeted Case Management. Each individual eligible for services is assigned a Service Coordinator that supports the individual with monitoring, assessing, referral and linkage to requested services through the person-centered planning process, with the goal of self-sufficiency, community inclusion and meaningful life. Additional services provided through DRC include respite; various levels of residential supported living arrangements to include 24-hour, shared living, and intermittent; job training, day programming, and supported employment; psychological and behavioral assessments and intervention; nursing assessments and consultations; and quality assurance oversight. DRC also has a 48-bed licensed Intermediate Care Facility (ICF) that provides comprehensive and individualized health care and rehabilitation services to individuals to promote their functional status and independence. The ICF is licensed through the Bureau of Health Care Quality and Compliance. Statutory Authority: NRS 433 and 435.

Synopsis: Sierra Regional Center (SRC) provides support services for people of all ages with intellectual and/or developmental disabilities including support for their families. SRC serves all of Washoe County. Most services are funded by Medicaid through the Home and Community Based Waiver and Targeted Case Management (TCM). Each individual eligible for services is assigned a Service Coordinator that supports the individual with monitoring, assessing, referral and linkage to requested services through the person-centered planning process, with the goal of self-sufficiency, community inclusion and meaningful life. Additional services provided through SRC include respite; various levels of residential supported living arrangements to include 24 hour and intermittent; job training, day programming, and supported employment; psychological and behavioral assessments and intervention; nursing assessments and consultations; and quality assurance oversight. Statutory Authority: NRS 433 and 435.

Synopsis: Northern Nevada Child and Adolescent Services (NNCAS) provides assessment, care coordination, and a comprehensive continuum of mental and behavioral health care services for Severely Emotionally Disturbed children and adolescents from birth through 18 years of age in accordance with NRS 433B. Children served are uninsured, under-insured, or Medicaid recipients. NNCAS services are both office- and home-based and include: infant and early childhood mental health (IECMH) services; IECMH consultation; children's clinical services (CCS) providing individual, group and family therapies; psychiatric evaluation and treatment; intensive targeted case management through the Wraparound in Nevada Program using the evidence-based High Fidelity Wraparound model or FOCUS model of care coordination; and mobile crisis response services that are provided in northern Nevada. Residential services are provided at the Psychiatric Residential Treatment Facility (PRTF) North. Services are provided in strength-based, individualized processes that respect and value the family's decision-making and culture by using the Child and Family Team process. The Division of Child and Family Services (DCFS) residential programs have also engaged in the Substance Abuse and Mental Health Services Administration Building Bridges Initiative. The mission of the Building Bridges Initiative is to identify and promote practice and policy initiatives that will create strong and closely coordinated partnerships and collaborations between families, youth and community to ensure that comprehensive services and supports are family-driven, youth-guided, strength-based, culturally and linguistically competent, individualized, evidence- and practice-informed, and consistent with the research on sustained positive outcomes. DCFS residential services are monitored by the Commission on Behavioral Health and licensed by the county and state. 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. NNCAS is involved with the statewide efforts to transform the current Children's Mental Health System of Care to more comprehensively accomplish this goal. Statutory Authority: NRS 433, 433A and 433B.

Synopsis: This budget account includes the Adult Protective Services (APS) program and the Long-Term Care Ombudsman program (LTCOP). The APS program receives and investigates reports of abuse, neglect, self-neglect, exploitation, isolation, and abandonment for vulnerable persons, ages 18-59 as well as persons aged 60 years and older. The LTCOP receives, investigates, and resolves complaints made by or on behalf of residents living in long-term care facilities and conducts regular visits to facilities. Statutory Authority: NRS 200.5091 through NRS 200.50995; NRS 427A.125

Synopsis: The State Independent Living Council (SILC) serves as an advocacy group for promoting the Independent Living philosophy, giving individuals choice and control over the services they receive. The purpose is to promote a philosophy of independency within the context of consumer control, peer support, self-help, self-determination, equal access, and individual and system advocacy. The goal is to maximize the leadership, empowerment, independence and productivity of individuals with disabilities, and the integration and full inclusion of individuals with disabilities into their communities. The SILC is established as an autonomous entity within the state. Aging and Disability Services currently serves as the Designated State Entity. Statutory Authority: Federal Rehabilitation Act - Independent Living Part B