Annette M Altman

The meeting served to provide updates following the signing of the Department of Justice settlement agreement, which occurred on January 2nd and is effective immediately. Key discussion points focused on the settlement's primary purpose: preventing unnecessary removals of children from their homes or unnecessary entry into inpatient/residential treatment settings by building community-based services for Medicaid-eligible youth with high-acuity behavioral health needs. The group reviewed the settlement's 13 core sections, noting that Section Seven details stakeholder requirements relevant to this working group. The compliance process will be overseen by an independent evaluator reviewer, who will be contracted and funded partly by hospital provider tax funds. The structure for achieving compliance involves an interagency council coordinating efforts across multiple divisions within the Department of Health and Human Services, while relying heavily on stakeholder input. The overall transformation effort is broader than the settlement's specific requirements, although the settlement confirms the existing reform path. The agreement mandates specific timelines for publishing an implementation plan and compliance reports over its five-year term.

The primary discussion focused on membership issues, including updates on pending governor appointments, the process for removing inactive members, and suggestions for members approaching reappointment deadlines in early 2024 to submit renewal requests promptly. A significant portion of the meeting addressed concerns regarding the mandatory collection of Sexual Orientation and Gender Identity (SOGI) data, as required by law, which families reported finding disturbing due to the abrupt presentation of sensitive questions during intake. The Council discussed drafting correspondence to express these concerns, with advice suggesting communication be directed to the Department of Health and Human Services (DHHS) rather than the Governor, focusing on revisiting the introductory language for presenting sensitive questions. Additionally, an update was provided on the conclusion of a rigorous two-week federal monitoring (DMS) process for the Part C office, highlighting areas of strength and improvement, and encouraging mirroring the Part B 619 program model. A new federal inclusion policy statement from the Department of Education and Health and Human Services was also shared.

The meeting commenced with establishing quorum and initial procedural checks. A significant portion of the agenda involved a presentation from the Bureau of Health and Wellness Prevention regarding proposed new regulations under NAC 433 (Mental Health) and NAC 458 (Alcohol and Other Substance Use Disorders). The presentation detailed the intent to create certification for behavioral health programs, link funding to certification, and integrate standards of care. Key components discussed for NAC 433 included defining specific programs like ACT, mobile crisis teams, and crisis stabilization centers, and requiring participation in a centralized bed registry system. For NAC 458, discussions included adding recovery programs, revising care plans, defining co-occurring disorders, expanding telehealth options, and requiring bed registry participation. The presenter also outlined a projected timeline spanning from initial drafting through to program certification in early 2027. Subsequent discussion involved clarifying where the draft regulations are posted for review.

The meeting began with establishing quorum for the Nevada State Board of Health. Discussion centered on public comment procedures in compliance with open meeting law. Quarterly reports from county and district health departments were presented. Carson City Health and Human Services reported on filling recruitment positions, upcoming flu outreach events, and adjustments to clinical service hours based on patient volume. Northern Nevada Health District highlighted achievements including back-to-school immunizations, a successful mass casualty incident exercise, a new food resource fair, and high activity in the temporary food event season. Southern Nevada Health District provided updates on a substance misuse summit, the value provided by their health centers to uninsured patients, the launch of the free online behavioral health resource 'Credible Mind', and increasing concerns regarding West Nile Virus and St. Louis Encephalitis cases in Nye County, prompting collaboration on mosquito control measures. Central Nevada Health District discussed successful immunization outreach in schools, onboarding new environmental health personnel, the completion of the nine-day Burning Man environmental health process, and ongoing efforts in building cooperation with state agencies and local partners for lab testing follow-up. The meeting also included an update on concerns regarding congenital syphilis.

The meeting agenda included several items for discussion and possible action. Key topics comprised the adoption of a flexible agenda, review of the Wells Fargo Investment Statement, discussion of employee new hires and contract renewals, and a detailed review of monthly financial statements including the financial snapshot, budget comparison, cash balance, balance sheet, and financial health indicators. Action items also involved approving or rejecting the Nevada Department of Education 2026-2027 academic calendar submission, the 2026-2027 School Performance Plan, and the 2026-2027 Governing Board meeting calendar. Additionally, the body was set to conduct an annual review of compliance with the Statewide Performance Evaluation System (NEPF) and review Governance Standard 4. The Superintendent's Report covered several oversight areas and an update on the FY27 Tentative Budget.