CLARK COUNTY BOARD OF COMMISSIONERS
AGENDA ITEM
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Petitioner: |
Jessica Colvin, Chief Financial Officer |
Recommendation:
title
Authorize the increase in funding for the Interlocal Contract between the Nevada Health Authority (NVHA) and Clark County for the federally required participation share and administrative costs of a Practitioner Upper Payment Limit (UPL) program. (For possible action)
body
FISCAL IMPACT:
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Fund #: |
1010.000 |
Fund Name: |
General Fund |
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Fund Center: |
Various |
Funded PGM/Grant: |
N/A |
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Amount: |
$2,000,000 |
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Description: |
N/A |
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Additional Comments: |
N/A |
BACKGROUND:
In order to preserve access to practitioner services for needy individuals in the State of Nevada at non-state governmentally owned hospitals, and to recognize the higher costs incurred by teaching programs when providing said services, the Nevada Health Authority (NVHA) shall provide Supplemental Payments to non-state governmentally owned or operated teaching hospitals. This interlocal contract supports the State’s supplemental Practitioner UPL program for practitioners who are contributing to medical education within University Medical Center (UMC) and is effective from July 1, 2022, through June 30, 2026.
On September 2, 2025, the Board approved Amendment #2 increasing the County contribution by $4,915,640.55 through the remainder of the contract period, for a maximum amount of $11,585,725.55.
This authorization will increase the County contribution by an additional $2,000,000 through the remainder of the contract period. The increase represents billings for anesthesia services added to the program effective fiscal year 2025 but not included in previous calculations provided by NVHA. This contract expires June 30, 2026, and NVHA does not have the ability to amend the contract this close to the expiration date.