ASSEMBLY ACTION Initial and Date |SENATE ACTION Initial and Date
Adopted Lost | Adopted Lost
Concurred In Not
|Concurred In Not
Receded Not | Receded Not
Amend sec. 3, page 3, line 14, by deleting:
“[may furnish a] must” and inserting:
“may[furnish a]”.
Amend sec. 5, page 4, line 6, by deleting “9,” and inserting “10,”.
Amend the bill as a whole by renumbering sections 7 through 13 as sections 8 through 14 and adding a new section designated sec. 7, following sec. 6, to read as follows:
“Sec. 7. Any gift, donation, bequest, grant or other source of money received by the University of Nevada School of Medicine for the development of an obstetrical access program may be used to:
1. Provide financial support and education to faculty and residents in the Departments of Family and Community Medicine and Obstetrics and Gynecology within the University of Nevada School of Medicine and to expand the clinical services provided by such faculty and residents in areas and to populations that need obstetrical services.
2. Provide money to Nevada Health Centers, Inc., or its successor, to expand the clinical prenatal and obstetrical practice base of community health center clinics and to provide uninsured, underinsured and Medicaid patients with increased access to clinical prenatal and obstetrical care.
3. Establish a fund that allows practicing community providers of prenatal care that are participating in the obstetrical access program to draw upon money to partially compensate them for providing care to patients who have no access to clinical care because of their financial status.
4. Develop a database of clinical practitioners providing prenatal or obstetrical services throughout the State to monitor and analyze:
(a) The relationship between declining services and the supply and distribution of appropriate providers of health care;
(b) The impact of access to care issues on pregnant women, including, without limitation, poor birth outcomes which result from lack of access to care, the financial impact of such poor birth outcomes and the effects of receiving inadequate prenatal care; and
(c) The impact of adverse judicial decisions on the delivery of obstetrical services.
5. Subsidize malpractice costs for clinical providers of prenatal care who maintain at least 30 percent or more of prenatal or obstetrical patients in their practice who are uninsured, underinsured or insured by Medicaid, or who use a sliding fee scale based on a patient’s financial resources when charging for such services. The subsidy must be calculated based on the number of qualified clinical providers of prenatal care, the proportion of financially compromised patients served by such providers and the total amount of money available for subsidies.”.
Amend sec. 7, page 4, line 11, before “The”by inserting “1.”.
Amend sec. 7, page 4, line 16, by deleting “1.” and inserting “(a)”.
Amend sec. 7, page 4, line 20, by deleting “2.” and inserting “(b)”.
Amend sec. 7, page 4, line 24, by deleting “(a)” and inserting “(1)”.
Amend sec. 7, page 4, line 26, by deleting “(b)” and inserting “(2)”.
Amend sec. 7, page 4, line 29, by deleting “(c)” and inserting “(3)”.
Amend sec. 7, page 4, line 31, by deleting “(d)” and inserting “(4)”.
Amend sec. 7, page 4, line 33, by deleting “(e)” and inserting “(5)”.
Amend sec. 7, page 4, between lines 35 and 36, by inserting:
“2. Any gift, donation, bequest, grant or other source of money received by the Nevada Office of Rural Health may be used to carry out the provisions of this section.”.
Amend sec. 8, page 5, line 23, after “2.” by inserting:
“Any gift, donation, bequest, grant or other source of money received by the Area Health Education Center Program may be used to carry out the provisions of this section.
3.”.
Amend sec. 9, page 5, line 34, after “may” by inserting “be”.
Amend sec. 9, page 6, by deleting lines 6 through 9 and inserting:
“(f) Distribute a portion of any money it receives for graduate medical education”.
Amend sec. 9, page 6, line 32, after “2.” by inserting:
“Any gift, donation, bequest, grant or other source of money received by the Medical Education Council of Nevada may be used to carry out the provisions of this section.
3.”.
Amend the bill as a whole by deleting sections 14 through 17 and adding a new section designated sec. 15, following sec. 13, to read as follows:
“Sec. 15. This act becomes effective on July 1, 2003.”.
Amend the title of the bill, eighteenth line, by deleting “making appropriations;” and inserting:
“making various changes concerning the use of certain money received by the University of Nevada School of Medicine;”.