reglab/housing_qa huggingface dataset:
NV Rev Stat § 422.4035 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.4035 - Silver State Scripts Board: Creation; membership. [Effective January 1, 2020.]

  1. The Director shall create the Silver State Scripts Board within the Department. The Board must consist of such members as are appointed by the Director.  2. The Director shall appoint to the Board health care professionals who have knowledge and expertise in one or more of the following:  (a) The clinically appropriate prescribing of outpatient prescription drugs that are covered by Medicaid;  (b) The clinically appropriate dispensing and monitoring of outpatient prescription drugs that are covered by Medicaid;  (c) The review of, evaluation of and intervention in the use of prescription drugs; and  (d) Medical quality assurance.  3. At least one-third of the members of the Board must be active physicians licensed to practice medicine in this State, at least one of whom must be an active psychiatrist licensed to practice medicine in this State. At least one-third of the members of the Board must be either active pharmacists registered in this State or persons in this State with doctoral degrees in pharmacy.  4. A person must not be appointed to the Board if the person is employed by, compensated by in any manner, has a financial interest in, or is otherwise affiliated with a business or corporation that manufactures prescription drugs.  (Added to NRS by 2003, 1318; A 2015, 304; 2019, 4030, effective January 1, 2020)
NV Rev Stat § 422.404 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.404 - Pharmacy and Therapeutics Committee: Chair; terms; vacancies; meetings; quorum. [Effective through December 31, 2019.]

  1. The Governor shall appoint the Chair of the Committee from among its members.  2. After the initial terms, the term of each member of the Committee is 2 years. A member may be reappointed.  3. A vacancy occurring in the membership of the Committee must be filled for the remainder of the unexpired term in the same manner as the original appointment.  4. The Committee shall meet at least once every 3 months and at the times and places specified by a call of the Chair of the Committee.  5. A majority of the members of the Committee constitutes a quorum for the transaction of business, and the affirmative vote of a majority of the members of the Committee is required to take action.  (Added to NRS by 2003, 1319)
NV Rev Stat § 422.404 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.404 - Silver State Scripts Board: Chair; terms; vacancies; meetings; quorum. [Effective January 1, 2020.]

  1. The Director shall appoint the Chair of the Board from among its members.  2. After the initial terms, the term of each member of the Board is 2 years. A member may be reappointed.  3. A vacancy occurring in the membership of the Board must be filled for the remainder of the unexpired term in the same manner as the original appointment.  4. The Board shall meet at least once every 3 months and at the times and places specified by a call of the Chair of the Board.  5. A majority of the members of the Board constitutes a quorum for the transaction of business, and the affirmative vote of a majority of the members of the Board is required to take action.  (Added to NRS by 2003, 1319; A 2019, 4030, effective January 1, 2020)
NV Rev Stat § 422.4045 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.4045 - Pharmacy and Therapeutics Committee: Members serve without compensation; members entitled to per diem; members holding public office or employed by governmental entity. [Effective through December 31, 2019.]

  1. Members of the Committee serve without compensation, except that a member of the Committee is entitled, while engaged in the business of the Committee, to receive the per diem allowance and travel expenses provided for state officers and employees generally.  2. Each member of the Committee who is an officer or employee of the State of Nevada or a local government must be relieved from his or her duties without loss of regular compensation so that the person may prepare for and attend meetings of the Committee and perform any work necessary to carry out the duties of the Committee in the most timely manner practicable. A state agency or local governmental entity shall not require an officer or employee who is a member of the Committee to make up the time that the officer or employee is absent from work to carry out any duties as a member of the Committee or to use annual vacation or compensatory time for the absence.  (Added to NRS by 2003, 1319)
NV Rev Stat § 422.4045 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.4045 - Silver State Scripts Board: Members serve without compensation; members entitled to per diem; members holding public office or employed by governmental entity. [Effective January 1, 2020.]

  1. Members of the Board serve without compensation, except that a member of the Board is entitled, while engaged in the business of the Board, to receive the per diem allowance and travel expenses provided for state officers and employees generally.  2. Each member of the Board who is an officer or employee of the State of Nevada or a local government must be relieved from his or her duties without loss of regular compensation so that the person may prepare for and attend meetings of the Board and perform any work necessary to carry out the duties of the Board in the most timely manner practicable. A state agency or local governmental entity shall not require an officer or employee who is a member of the Board to make up the time that the officer or employee is absent from work to carry out any duties as a member of the Board or to use annual vacation or compensatory time for the absence.  (Added to NRS by 2003, 1319; A 2019, 4030, effective January 1, 2020)
NV Rev Stat § 422.405 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.405 - Pharmacy and Therapeutics Committee: Duties and powers. [Effective through December 31, 2019.]

  1. The Department shall, by regulation, set forth the duties of the Committee which must include, without limitation:  (a) Identifying the prescription drugs which should be included on the list of preferred prescription drugs developed by the Department for the Medicaid program pursuant to NRS 422.4025 and the prescription drugs which should be excluded from any restrictions that are imposed on drugs that are on the list of preferred prescription drugs;  (b) Identifying classes of therapeutic prescription drugs for its review and performing a clinical analysis of each drug included in each class that is identified for review; and  (c) Reviewing at least annually all classes of therapeutic prescription drugs on the list of preferred prescription drugs developed by the Department for the Medicaid program pursuant to NRS 422.4025.  2. The Department shall, by regulation, require the Committee to:  (a) Base its decisions on evidence of clinical efficacy and safety without consideration of the cost of the prescription drugs being considered by the Committee;  (b) Review new pharmaceutical products in as expeditious a manner as possible; and  (c) Consider new clinical evidence supporting the inclusion of an existing pharmaceutical product on the list of preferred prescription drugs developed by the Department for the Medicaid program and new clinical evidence supporting the exclusion of an existing pharmaceutical product from any restrictions that are imposed on drugs that are on the list of preferred prescription drugs in as expeditious a manner as possible.  3. The Department shall, by regulation, authorize the Committee to:  (a) In carrying out its duties, exercise clinical judgment and analyze peer review articles, published studies, and other medical and scientific information; and  (b) Establish subcommittees to analyze specific issues that arise as the Committee carries out its duties.  (Added to NRS by 2003, 1319)
NV Rev Stat § 422.405 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.405 - Silver State Scripts Board: Duties and powers. [Effective January 1, 2020.]

  1. The Department shall, by regulation, set forth the duties of the Board, which must include, without limitation:  (a) Identifying the prescription drugs which should be included on the list of preferred prescription drugs developed by the Department pursuant to NRS 422.4025, which must include, without limitation, any prescription drug required by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services to be covered by the Medicaid program and any other prescription drug deemed essential by the Board;  (b) Identifying the prescription drugs which should be excluded from any restrictions that are imposed by the Medicaid program on drugs that are on the list of preferred prescription drugs;  (c) Identifying classes of therapeutic prescription drugs for its review and performing a clinical analysis of each drug included in each class that is identified for review; and  (d) Reviewing at least annually all classes of therapeutic prescription drugs on the list of preferred prescription drugs developed by the Department pursuant to NRS 422.4025.  2. The Department shall, by regulation, require the Board to:  (a) Base its decisions on evidence of clinical efficacy, safety and outcomes for patients and, if the difference between the clinical efficacy, safety and outcomes for two or more drugs is not clinically significant, cost;  (b) Review new pharmaceutical products in as expeditious a manner as possible; and  (c) Consider new clinical evidence supporting the inclusion of an existing pharmaceutical product on the list of preferred prescription drugs developed by the Department and new clinical evidence supporting the exclusion of an existing pharmaceutical product from any restrictions that are imposed by the Medicaid program on drugs that are on the list of preferred prescription drugs in as expeditious a manner as possible.  3. The Department shall, by regulation, authorize the Board to:  (a) In carrying out its duties, exercise clinical judgment and analyze peer review articles, published studies, and other medical and scientific information; and  (b) Establish subcommittees to analyze specific issues that arise as the Board carries out its duties.  4. The Board may close any portion of a meeting during which it considers the cost of prescription drugs.  (Added to NRS by 2003, 1319; A 2019, 4031, effective January 1, 2020)
NV Rev Stat § 422.4053 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.4053 - Department to manage payments and rebates for prescription drugs; contract for provision of certain services. [Effective January 1, 2020.]

  1. Except as otherwise provided in subsection 2, the Department shall directly manage, direct and coordinate all payments and rebates for prescription drugs and all other services and payments relating to the provision of prescription drugs under the State Plan for Medicaid and the Children’s Health Insurance Program.  2. The Department may enter into a contract with:  (a) A pharmacy benefit manager for the provision of any services described in subsection 1.  (b) A health maintenance organization pursuant to NRS 422.273 for the provision of any of the services described in subsection 1 for recipients of Medicaid or recipients of insurance through the Children’s Health Insurance Program who receive coverage through a Medicaid managed care program.  3. A contract entered into pursuant to subsection 2 must:  (a) Include the provisions required by NRS 422.4056; and  (b) Require the pharmacy benefit manager or health maintenance organization, as applicable, to disclose to the Department any information relating to the services covered by the contract, including, without limitation, information concerning dispensing fees, measures for the control of costs, rebates collected and paid and any fees and charges imposed by the pharmacy benefit manager or health maintenance organization pursuant to the contract.  4. In addition to meeting the requirements of subsection 3, a contract entered into pursuant to:  (a) Paragraph (a) of subsection 2 may require the pharmacy benefit manager to provide the entire amount of any rebates received for the purchase of prescription drugs, including, without limitation, rebates for the purchase of prescription drugs by an entity other than the Department, to the Department.  (b) Paragraph (b) of subsection 2 must require the health maintenance organization to provide to the Department the entire amount of any rebates received for the purchase of prescription drugs, including, without limitation, rebates for the purchase of prescription drugs by an entity other than the Department, less an administrative fee in an amount prescribed by the contract. The Department shall adopt policies prescribing the maximum amount of such an administrative fee.  (Added to NRS by 2019, 4027, effective January 1, 2020)
NV Rev Stat § 422.4056 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.4056 - Audits of certain contracts. [Effective January 1, 2020.]

  1. Any contract between the Department and a pharmacy benefit manager or health maintenance organization entered into pursuant to NRS 422.4053 must require the pharmacy benefit manager or health maintenance organization, as applicable, to:  (a) Submit to and cooperate with an annual audit by the Department to evaluate the compliance of the pharmacy benefit manager or health maintenance organization with the agreement and generally accepted accounting and business practices. The audit must analyze all claims processed by the pharmacy benefit manager or health maintenance organization pursuant to the agreement.  (b) Obtain from an independent accountant, at the expense of the pharmacy benefit manager or health maintenance organization, as applicable, an annual audit of internal controls to ensure the integrity of financial transactions and claims processing.  2. The Department shall post the results of any audit conducted pursuant to paragraph (a) of subsection 1 on an Internet website maintained by the Department.  (Added to NRS by 2019, 4027, effective January 1, 2020)
NV Rev Stat § 422.406 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.406 - Regulations; contracts for services.

  1. The Department may, to carry out its duties set forth in NRS 422.27172 to 422.27178, inclusive, and 422.401 to 422.406, inclusive, and to administer the provisions of those sections:  (a) Adopt regulations; and  (b) Enter into contracts for any services.  2. Any regulations adopted by the Department pursuant to NRS 422.27172 to 422.27178, inclusive, and 422.401 to 422.406, inclusive, must be adopted in accordance with the provisions of chapter 241 of NRS.  (Added to NRS by 2003, 1321; A 2017, 1802; 2019, 4032)
NV Rev Stat § 422.410 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.410 - Fraudulent acts; penalties.

  1. Unless a different penalty is provided pursuant to NRS 422.361 to 422.369, inclusive, or 422.450 to 422.590, inclusive, a person who knowingly and designedly, by any false pretense, false or misleading statement, impersonation, misrepresentation, or concealment, transfer, disposal or assignment of money or property obtains or attempts to obtain monetary or any other public assistance, or money, property, medical or remedial care or any other service provided pursuant to the Children’s Health Insurance Program, having a value of $100 or more, whether by one act or a series of acts, with the intent to cheat, defraud or defeat the purposes of this chapter or to enable a person to meet or appear to meet any requirements of eligibility prescribed by state law or by rule or regulation adopted by the Department for a grant or an increase in a grant of any type of public assistance is guilty of a category E felony and shall be punished as provided in NRS 193.130. In addition to any other penalty, the court shall order the person to pay restitution.  2. For the purposes of subsection 1, whenever a recipient of Temporary Assistance for Needy Families pursuant to the provisions of chapter 422A of NRS receives an overpayment of benefits for the third time and the overpayments have resulted from a false statement or representation by the recipient or from the failure of the recipient to notify the Division of Welfare and Supportive Services of the Department of a change in circumstances which would affect the amount of assistance the recipient receives, a rebuttable presumption arises that the payment was fraudulently received.  3. For the purposes of this section:  (a) "Public assistance" includes any money, property, medical or remedial care or any other service provided pursuant to a state plan.  (b) "Temporary Assistance for Needy Families" has the meaning ascribed to it in NRS 422A.080.  (Added to NRS by 1981, 1909; A 1985, 1405; 1991, 1053; 1993, 142, 2788, 2819; 1995, 1274; 1997, 2239; 1999, 2233; 2005, 22nd Special Session, 38; 2007, 2394; 2013, 1307)
NV Rev Stat § 422.450 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.450 - Definitions.

As used in NRS 422.450 to 422.590, inclusive, unless the context otherwise requires, the words and terms defined in NRS 422.460 to 422.525, inclusive, have the meanings ascribed to them in those sections.  (Added to NRS by 1991, 1048; A 1997, 456)
NV Rev Stat § 422.460 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.460 - "Benefit" defined.

Benefit means a benefit authorized by the Plan.  (Added to NRS by 1991, 1048)
NV Rev Stat § 422.470 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.470 - "Claim" defined.

Claim means a communication, whether oral, written, electronic or magnetic, which is used to identify specific goods, items or services as reimbursable pursuant to the Plan, or which states income or expense and is or may be used to determine a rate of payment pursuant to the Plan.  (Added to NRS by 1991, 1048)
NV Rev Stat § 422.480 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.480 - "Plan" defined.

Plan means the State Plan for Medicaid established pursuant to NRS 422.063.  (Added to NRS by 1991, 1048; A 1993, 2067; 1997, 1245)
NV Rev Stat § 422.490 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.490 - "Provider" defined.

Provider means a:  1. Person who has applied to participate or who participates in the Plan as the provider of goods or services; or  2. Private insurance carrier, health care cooperative or alliance, health maintenance organization, insurer, organization, entity, association, affiliation or person, who contracts to provide or provides goods or services that are reimbursed by or are a required benefit of the Plan.  (Added to NRS by 1991, 1048; A 1997, 456)
NV Rev Stat § 422.500 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.500 - "Recipient" defined.

Recipient means a natural person who receives benefits pursuant to the Plan.  (Added to NRS by 1991, 1048)
NV Rev Stat § 422.510 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.510 - "Records" defined.

Records means medical, professional or business records relating to the treatment or care of a recipient, or to a good or a service provided to a recipient, or to rates paid for such a good or a service, and records required to be kept by the Plan.  (Added to NRS by 1991, 1048)
NV Rev Stat § 422.520 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.520 - "Sign" defined.

Sign means to affix a signature directly or indirectly by means of handwriting, typewriter, stamp, computer impulse or other means.  (Added to NRS by 1991, 1048)
NV Rev Stat § 422.525 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.525 - "Statement or representation" defined.

Statement or representation includes, without limitation, a report, claim, certification, acknowledgment or ratification of:  1. Financial information;  2. An enrollment claim;  3. Demographic statistics;  4. Encounter data;  5. Health services available or rendered;  6. The qualifications of the persons rendering the health care or ancillary services; or  7. Any combination of subsections 1 to 6, inclusive.  (Added to NRS by 1997, 456)
NV Rev Stat § 422.530 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.530 - Responsibility for false claim, statement or representation.

For the purposes of NRS 422.540 and 422.550:  1. A person shall be deemed to have known that a claim, statement or representation was false if the person knew, or by virtue of his or her position, authority or responsibility had reason to know, of the falsity of the claim, statement or representation.  2. A person shall be deemed to have made or caused to be made a claim, statement or representation if the person:  (a) Had the authority or responsibility to:  (1) Make the claim, statement or representation;  (2) Supervise another who made the claim, statement or representation; or  (3) Authorize the making of the claim, statement or representation,  whether by operation of law, business or professional practice, or office procedure; and  (b) Exercised that authority or responsibility or failed to exercise that authority or responsibility and, as a direct or indirect result, the false claim, statement or representation was made.  (Added to NRS by 1991, 1048; A 1997, 456)
NV Rev Stat § 422.540 (2021)
2021 Nevada Revised Statutes|Chapter 422 - Health Care Financing and Policy|NRS 422.540 - Offenses regarding false claims, statements or representations; penalties.

  1. A person, with the intent to defraud, commits an offense if with respect to the Plan the person:  (a) Makes a claim or causes it to be made, knowing the claim to be false, in whole or in part, by commission or omission;  (b) Makes or causes to be made a statement or representation for use in obtaining or seeking to obtain authorization to provide specific goods or services, knowing the statement or representation to be false, in whole or in part, by commission or omission;  (c) Makes or causes to be made a statement or representation for use by another in obtaining goods or services pursuant to the Plan, knowing the statement or representation to be false, in whole or in part, by commission or omission; or  (d) Makes or causes to be made a statement or representation for use in qualifying as a provider, knowing the statement or representation to be false, in whole or in part, by commission or omission.  2. A person who commits an offense described in subsection 1 shall be punished for a:  (a) Category D felony, as provided in NRS 193.130, if the amount of the claim or the value of the goods or services obtained or sought to be obtained was greater than or equal to $650.  (b) Misdemeanor if the amount of the claim or the value of the goods or services obtained or sought to be obtained was less than $650.  Amounts involved in separate violations of this section committed pursuant to a scheme or continuing course of conduct may be aggregated in determining the punishment.  3. In addition to any other penalty for a violation of the commission of an offense described in subsection 1, the court shall order the person to pay restitution.  (Added to NRS by 1991, 1049; A 1997, 457; 2011, 174)