Account to Improve Emergency Medical Transportation Quality and Access: Creation; administration; authorized expenditures; limitations; federal financial participation and matching funds; nonreversion.
Nev. Rev. Stat. § 422.3745
in effect1. The Account to Improve Emergency Medical Transportation Quality and Access is hereby created in the State General Fund. The Division shall administer the Account. The revenue from assessments and penalties imposed on private emergency medical transport providers pursuant to NRS 422.3743 and 422.3747 , respectively, must be accounted for separately in the Account.
2. The interest and income earned on the money in the Account, after deducting any applicable charges, must be credited to the Account.
3. The money in the Account must only be expended to:
(a) Provide enhanced rates of reimbursement to private emergency medical transport providers that provide emergency ambulance services to recipients of Medicaid;
(b) Provide funding to allow the Authority to:
(1) Modernize processes and infrastructure relating to the collection and maintenance of data that is useful for purposes relating to public health;
(2) Provide education to the public relating to emergency medical services; and
(3) Conduct community outreach to improve public health; and
(c) Carry out the provisions of NRS 422.3741 to 422.3749 , inclusive.
4. Except as otherwise provided in NRS 422.3749 , all money deposited into the Account, except for the money necessary for the purposes described in paragraphs (b) and (c) of subsection 3, and all federal financial participation provided to match the money in the Account must be expended to fund the enhanced rates of reimbursement established pursuant to paragraph (a) of subsection 3. Such enhanced rates of reimbursement may be provided through any or all of the following means:
(a) Increases to rates of reimbursement paid to private emergency medical transport providers who receive such reimbursement on a fee-for-service basis.
(b) The establishment of a minimum schedule of fees to be paid to private emergency medical transport providers who provide services to recipients of Medicaid under the Medicaid managed care program established pursuant to NRS 422.273 .
(c) Directed payments to private emergency medical transport providers who provide services to recipients of Medicaid under the Medicaid managed care program established pursuant to NRS 422.273 , without respect to whether a provider participates in the network of providers established or used by the Medicaid managed care program.
5. Not more than 10 percent of the total amount of money generated each year by the assessment imposed pursuant to NRS 422.3743 may be expended for the purposes described in paragraphs (b) and (c) of subsection 3. Money allocated for such expenditures must be used first for the purpose described in paragraph (c) of subsection 3. If money allocated for such expenditures remains after all necessary expenditures are made for that purpose, the Division shall expend the remaining money for the purposes described in paragraph (b) of subsection 3.
6. Any money remaining in the Account at the end of a fiscal year does not revert to the State General Fund, and the balance in the Account must be carried forward to the next fiscal year.
7. Money in the Account must not be expended to replace money that would otherwise be used to provide reimbursement under Medicaid to private emergency medical transport providers.
8. The Director shall seek any necessary federal authority to capture all available financial federal participation to carry out the purposes described in paragraph (a) of subsection 3.
9. If the Legislature authorizes money in the Account to be used for any purpose other than those authorized by subsection 3:
(a) The Division shall cease imposing the assessment provided by NRS 422.3743 ; and
(b) The regulations adopted to impose the assessment pursuant to NRS 422.3743 are void.
Source: NV Statutes (Official Site)URL: https://www.leg.state.nv.us/nrs/NRS-422.htmlFetched: 10/4/2026