Synopsis: The Governor's Office of Workforce Innovation was initially established in accordance with Executive Order 2016-08, which established the Office of Workforce Innovation (OWINN) within the Office of the Governor to provide continued alignment within the workforce ecosystem and create a seamless workforce system that helps job seekers access employment, education, training, and other supportive services. Sections 18-21 of Senate Bill 516, during the 2017 Legislative session, codified OWINN into Nevada Revised Statutes. Section 20 established the powers and duties of the Executive Director of OWINN. Sections 14, 20, and 23 moved responsibilities for the oversight of the state's statewide longitudinal data system linking data relating to early childhood education programs and K-12 public education with data relating to postsecondary education and the workforce in Nevada from the P-20 Workforce Advisory Council to the Executive Director of OWINN. Statutory Authority: NRS 232.965.

Synopsis: The Nevada Commission for Persons Who are Deaf and Hard of Hearing is charged with the advocacy on behalf of people who are deaf, hard of hearing, and speech impaired, including the annual development of the Nevada State Plan for the Deaf, Hard of Hearing, Speech Impaired, Deaf-Blind, and Deaf Plus. This state plan includes a series of recommendations to meet the needs of this population and ensure equal communication access in services throughout the state. Statutory Authority: NRS 427A.740

Synopsis: The Juvenile Justice Programs Office (JJPO) is responsible for ensuring compliance with the Juvenile Justice Delinquency Prevention Act (JJDPA) which includes compliance with the four core requirements: 1) Deinstitutionalization of Status Offenders, 2) Sight and Sound Separation, 3) Jail Removal, and 4) reducing Racial and Ethnic Disparities in the Juvenile Justice System. The JJPO provides, oversees, and monitors federal and state grant funds to local governmental entities and private non-profit organizations. This includes providing technical assistance to grantees and conducting quality assurance reviews of grant programs. Further, the JJPO ensures compliance with the Prison Rape Elimination Act (PREA) within state juvenile correctional facilities. Lastly, the JJPO gathers, analyzes, and reports on statewide juvenile justice data based on federal and state requirements, and provides administrative support for the state juvenile correctional facilities and the Youth Parole Bureau (YBP) through grant management, data management, and policy development. Statutory Authority: NRS 62, the JJDPA, and PREA.

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 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 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: 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: 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 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: 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

Synopsis: Lake's Crossing Center provides statewide court-ordered forensic mental health inpatient services in a secure setting and outpatient services to individuals who are in the community or in a local detention center. These services are provided to those individuals who have been found to be incompetent to proceed with adjudication and are court-ordered to receive competency restoration treatment. The facility also treats clients acquitted not guilty by reason of insanity, committed under NRS 174.539, and unrestorable clients deemed unsafe for release into the community committed under NRS 178.461. Statutory Authority: NRS 174, 175, 176, 178, and 433.

Synopsis: Southern Nevada Child and Adolescent Services (SNCAS) provides assessment, care coordination, and 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. Non-emergent services are provided in three Neighborhood Family Service Centers in different regions of the Las Vegas community. SNCAS services are both office- and home-based and include: early childhood mental health services; early childhood day treatment; outpatient mental health services providing individual, group and family therapies; psychiatric evaluation and treatment; intensive targeted case management services through the Wrap-Around in Nevada Program evidence-based High Fidelity Wraparound model or "FOCUS" model of care coordination; and mobile crisis response services that operate 24/7 throughout Clark County and provide live 24/7 telephone hotline coverage for the entire state. Residential services are provided at the West Charleston campus and the Desert Willow Treatment Center (DWTC), which provide inpatient acute psychiatric and residential treatment center services. 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 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. DWTC is certified by the Joint Commission on Accreditation of Healthcare Organizations. 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. SNCAS 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: Rural Clinics assists adults and children with mental illness through 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. Statutory Authority: NRS 433; 433A; 433C.

Synopsis: The Nevada Marijuana Registry is a state registry program within the Nevada Department of Health and Human Services, Division of Public and Behavioral Health. The role of the program is to administer the provisions of the Medical Use of Marijuana law as approved by the Nevada Legislature for registry of cardholders and caregivers (adopted in 2001). Statutory Authority: NRS 453A and NRS 678C.

Synopsis: The mission of the Workforce Development (WD) Programs is to provide a statewide labor exchange and provide training and re-employment services to Nevada workers and recruitment services for Nevada businesses. WD programs include Wagner Peyser/Labor Exchange, Career Enhancement Program (CEP), Re-employment Services and Eligibility Assessment (RESEA), Foreign Labor Certification (FLC), Work Opportunity Tax Credit (WOTC), Rapid Response, Trade Adjustment Assistance (TAA), Migrant Seasonal Farm Worker (MSFW), and Veterans Employment and Training Service (VETS). WD programs provide job placement services and labor market information to businesses and job seekers. These programs are designed to assist businesses in meeting their workforce needs and aid job seekers in returning to work through job referrals, short-term skill enhancement training, and career guidance. Workforce Development is also responsible for the administration and oversight of Workforce Innovation and Opportunity Act Title 1-Adult, Dislocated Worker, and Youth funds. Statutory Authority: NRS Chapter 612; U.S. IRC Code, Title 26, Subtitle C (Employment Taxes); Chapter 23 (Federal Unemployment Tax Act); Wagner-Peyser Act of 1933; Trade Act of 1974/2021 (Public Law 93-618/114-27); U.S. Code, Title 38, Chapter 41 (Veterans Programs); Personal Responsibility and Work Opportunity Tax Act of 1996 (42 USC 653/Public Law 116-260) (New Hire Directory); and the Workforce Innovation and Opportunity Act of 2014 (Public Law 113-128).

Synopsis: The Employment Security Special Fund is created as a special revenue fund to cover expenditures for which federal funds have been requested but not yet received, cover costs to administer employment security laws that may not be charged against federal grants and pay for technological enhancements to programs for which federal funds are not available. The revenue sources for this fund are interest bearing and forfeitures collected from employers for non or late payment of unemployment taxes. All monies in the fund are continuously available to the Employment Security Division Administrator and do not lapse at any time. Statutory Authority: NRS 612.615.

Synopsis: The mission of the Unemployment Insurance Program is to promptly provide temporary financial assistance to eligible workers who have lost their jobs through no fault of their own; improve the well-being of Nevada's workforce and families; and promote equitable access to unemployment insurance benefits for economic stability and to administer an efficient, effective tax system. Statutory Authority: NRS 612.

Synopsis: The Employment Security Division provides support services. Staff includes the ESD Administrator, two administrative staff, staff attorney and supporting staff, the Management and Administration Support Services, the mailroom clerk, and the members of the Employment Security Counsel. Statutory Authority: NRS 612.

Synopsis: The mission of the Energy Assistance Program (EAP) is to assist eligible low-income Nevadans with the cost of home energy. The EAP provides an annual payment for eligible households customarily paid directly to the energy provider, which can be applied to either their heating or cooling providers or split between the two. In addition, the EAP provides arrearage assistance to eligible households to bring past due charges on their heating and/or cooling bills current. EAP has two funding sources, the Low-Income Home Energy Assistance block grant and the Fund for Energy Assistance and Conservation (budget account 6031), which was created during the 2001 Legislative Session to collect a Universal Energy Charge from certain electric/gas utilities. Statutory Authority: NRS 422A and NRS 702.

Synopsis: Victims Services include the federal Victims of Crime Act grant, the Victim Liaison grant, federal Family Violence Prevention and Services Act (FVPSA) Program, and American Rescue Plan Act (ARPA) funding for domestic violence, testing, and sexual assault. Nevada Revised Statutes 217.096 provides for the establishment of a statewide center for services to victims of crimes and requires the Department of Human Services' Division of Child and Family Services, to the extent that money is available for this purpose, to designate such a center and authorizes the Administrator of the DCFS to accept any gift, grant, donation, bequest, or other source of money for the purpose of carrying out duties related to the center. Victim Assistance awards are made by the state to organizations that provide services such as crisis intervention, emergency shelter and transportation, counseling, and criminal justice advocacy to victims of crimes. The FVPSA Program is the primary federal funding stream dedicated to support emergency shelters and related assistance for victims of domestic violence and their children. The Victim Liaison grant provides crime victim liaisons to act as a bridge between the state and other state-based, non-governmental organizations to identify gaps in victim services and improve and increase access to resources for crime victims in rural/tribal areas, older victims, and victims of violent crimes. The Victim Services Unit provides services advocating through a Liaison Program and the Victim Advocate Academy of Nevada. In addition, Nevada offers the Confidential Address Program (NRS 217.462), which allows for a fictitious address for victims of domestic violence, human trafficking, sexual assault, or stalking. The state provides opportunities for local resources across Nevada to provide services for victims and their families. It is the goal of the program to reach locations across the state including rural, urban, and tribal communities. NRS 217.

Synopsis: The Victims of Crime Program (VOCP) provides financial assistance to eligible persons who are victims of violent crimes committed in Nevada. The VOCP pays hospital bills, medical and dental treatment costs, mental health counseling costs, lost wages, funeral costs, and other crime-related expenses. Program revenues are derived from fines and penalties imposed by the courts in criminal proceedings. Statutory Authority: NRS 217.010.