Legislative Committee to Study Long-Term Care in Nevada

Senate Concurrent Resolution 4 – 1999 Legislative Session


Mission:  The focus of the Legislative Committee is to examine alternatives to institutionalization from a humanistic and cost perspective and to examine how to finance long-term care as baby boomers begin to access available services.


The Legislative Committee to Study Long-Term Care has held two meetings and will hold two additional meetings and a work session over the next several months.  The Committee’s first meeting was held on November 9, 1999 and was designed to provide the members a solid foundation on long-term care services in Nevada.  The Director, Department of Human Resources, and subject matter experts within the Department provided the Committee a comprehensive presentation on Medicaid eligibility requirements for institutional care; institutional care expenditures, demographics and how institutional care is paid for; the current home and community-based waiver programs funded by Medicaid; and the evolution of the county match program which helps fund long-term care expenditures in the Medicaid program.


The Committee also received testimony from the Nevada Association of Counties (NACO), the Nevada Health Care Association, the Retired Public Employees Association (RPEN), and the American Association of Retired Persons (AARP) on their views and proposals for long-term care policy for consideration by the Committee during the course of the study.


The Committee’s second meeting was held on January 13, 2000.  The Committee’s second meeting was designed to focus on two primary areas.  First the Committee received presentations from a number of notable speakers, including Robert Mollica with the National Academy for State Health Policy on innovative approaches states are implementing to avoid institutionalization.  The information presented broadly addressed community-based options, the expansion of home- and community-based waiver services in the Medicaid program and how to develop comprehensive single point entry systems.  Secondly, the Committee received testimony from several speakers, including a keynote speaker representing the American Council of Life Insurance on the role private long-term care insurance could play for financing long-term care in the future.  The information presented provided the Committee a broad perspective on today’s long-term care insurance products, coverage options, benefit structure and costs, what states are doing to promote the purchase of long-term care insurance, the role of education and the potential impact long-term care insurance may have in saving Medicaid dollars.


The Committee’s third meeting is scheduled for March 9, 2000 and is designed to continue to explore in greater depth the feasibility of introducing more community-based options as an alternative to institutionalization.  This will include a more thorough examination on the feasibility of maximizing home- and community-based services in the Medicaid program and exploring residential alternatives to institutionalization.  Additionally, since it does appear that long-term care insurance can play an integral role in financing long-term care in the future, the Committee will explore avenues to maximize this option.  The Committee also intends to explore various alternatives to how Nevada currently finances long-term care expenditures in the Medicaid program taking into consideration the fiscal capacity and limitations of Nevada’s rural counties.