The Executive Branch Audit Committee of the State of Nevada convened on October 29, 2024, to address several key issues regarding financial management and interstate compacts. The meeting began with discussions surrounding the benefits of participating in interstate compacts, specifically the Nurse Licensure Compact (NLC) and the Interstate Medical Licensure Compact (IMLC). Craig Stephenson provided data indicating that the IMLC led to a 42 percent increase in medical licenses issued in Nevada, attributing this success to the compact's implementation. He noted that while similar results for the NLC were not guaranteed, the data from the IMLC was promising.

The committee then shifted focus to a significant financial concern involving over $1 million in past-due balances that had not been submitted for collection. Director Devine explained that inadequate management controls at the home had led to confusion about the necessity of submitting these debts to the controller's office. The debts, some dating back six years, had not been pursued for collection due to a lack of understanding of the recourse available to the agency.

The discussion highlighted the importance of ensuring that any recovered funds would return to the home rather than the general fund, clarifying that existing statutes already provided for this. The committee emphasized the need for better communication and management practices to prevent similar issues in the future.

Further inquiries were made regarding the agency's efforts to collect on these debts, with Director Devine confirming that local attempts had been made, but the audit revealed a need for a more proactive approach moving forward. The committee acknowledged the complexities involved in debt collection, particularly with residents' financial situations.

As the meeting progressed, the committee reviewed the audit's six-month follow-up status reports, which served as an informational item. The discussions underscored the necessity for improved financial oversight and the potential benefits of interstate compacts in addressing workforce shortages in healthcare.

In conclusion, the meeting highlighted critical areas for improvement in financial management and the potential advantages of participating in interstate compacts, setting the stage for future discussions on these topics. The committee's commitment to addressing these issues reflects an ongoing effort to enhance operational efficiency within the state's executive branch.