Revises provisions relating to Medicaid. (BDR 38-450)

SB 29 requires Nevada's Department of Health and Human Services to develop a Medicaid reimbursement system through accountable care organizations (ACOs) - groups of healthcare providers working together to improve care quality, lower costs, and coordinate services for patients. It mandates biennial surveys of Medicaid providers to gather input on improving reimbursement processes and provider utilization. The bill also directs the Department to request federal approval for higher reimbursement rates for physicians and advanced practice nurses, increasing payments by at least 8% in rural counties (under 100,000 residents) or 11% elsewhere under value-based payment models. These changes directly affect Medicaid providers and aim to reshape how healthcare is delivered and paid for under the state's Medicaid program.