Division

Nevada Health Authority Director's Office

Official name: NVHA - Nevada Health Authority Director's Office

Nevada Health Authority Director's Office spent $288 million in FY2026 — 54% of a $537 million budget. It ranks 12 of the state's 109 divisions, about $1 in every $86 of all state spending.

That is 16% more than in FY2025 ($249 million), not adjusted for inflation.

Spent FY2026: $288 million$288,256,351
Budget FY2026: $537 millionplus $716 thousand held in reserve
Share of budget spent: 54%Spent ÷ budget
Change from FY2025: +16.0%FY2025: $249 million

3.1% of Nevada Health Authority spending.

Spent each year, FY2006 onwards · dashed line: budgetHistory follows the budget accounts in this division in FY2026, looked up by code in every year.

Year

Compare with

Where the money went

Explore Nevada Health Authority Director's Office by budget account: select a block to go a level deeper, or switch views. Totals leave out reserves, pass-through accounts and money paid on to other state accounts.

Budget vs spent, by budget account

3 budget accounts. The largest, NVHA - Administration, accounts for 99% of the total.

Budget accounts of Nevada Health Authority Director's Office, FY2026
Budget account	Spent FY2026	Budget FY2026	% of budget spent	Share
NVHA - Administration3158

Spent and budget each fiscal year
Fiscal year	Spent	Budget
FY2006	$19.9 million	Not available
FY2007	$21.2 million	Not available
FY2008	$21.9 million	Not available
FY2009	$22.0 million	Not available
FY2010	$74.1 million	$80.0 million
FY2011	$77.0 million	$90.3 million
FY2012	$79.3 million	$129 million
FY2013	$109 million	$138 million
FY2014	$121 million	$143 million
FY2015	$147 million	$166 million
FY2016	$149 million	$169 million
FY2017	$166 million	$215 million
FY2018	$171 million	$199 million
FY2019	$179 million	$210 million
FY2020	$142 million	$171 million
FY2021	$125 million	$168 million
FY2022	$152 million	$186 million
FY2023	$166 million	$235 million
FY2024	$192 million	$261 million
FY2025	$249 million	$287 million
FY2026	$288 million	$537 million
FY2027	See note	$466 million

NVHA - Rural Health Transformation3247	$1.55 millionof $200 million	$200 million	1%	0.5%

NVHA - Developmental Disabilities3154	$783 thousandof $812 thousand	$812 thousand	96%	0.3%

Spent each year by budget accounts
Fiscal year	NVHA - Administration	NVHA - Rural Health Transformation	NVHA - Developmental Disabilities	Budget
FY2006	$19.3 million	—	$653 thousand	—
FY2007	$20.3 million	$303 thousand	$582 thousand	—
FY2008	$20.3 million	$1.02 million	$563 thousand	—
FY2009	$20.2 million	$1.26 million	$499 thousand	—
FY2010

Funding sources by group and revenue ledger code, FY2026 budget
Group	Revenue ledger	Legislature approved	Current budget
Federal funds	$184 million	$443 million
FF	3511 Fed Title XIX Receipts	$176 million	$232 million
FF	3500 Dept of Defense Funds	$0	$200 million
FF	3501 Fed Title XXI Receipts	$4.60 million	$4.60 million
FF	3537 Fed Share, Health Service Cost	$1.65 million	$1.65 million
FF	3580 Federal Grant

Budget journey for FY2026: each step and the running total
Step	Amount	Running total
Governor recommended	$275 million	$275 million
Changes made by the Legislature	−$12.3 million= $263M	$263 million
Legislature approved	$263 million	$263 million
Accounts outside the operating budget	+$200 million= $463M	$463 million
Federal money added after the session	+$59.1 million= $522M	$522 million
Money carried over from earlier years	+$5.08 million= $527M	$527 million
Other changes after the session	+$10.0 million= $537M	$537 million
Current budget	$537 million	$537 million

FY2011	$75.1 million	$1.34 million	$629 thousand	$90.3 million

FY2012	$78.3 million	$469 thousand	$487 thousand	$129 million

FY2013	$108 million	—	$670 thousand	$138 million

FY2014	$121 million	—	$509 thousand	$143 million

FY2015	$147 million	—	$575 thousand	$166 million

FY2016	$149 million	—	$491 thousand	$169 million

FY2017	$165 million	—	$613 thousand	$215 million

FY2018	$170 million	—	$671 thousand	$199 million

FY2019	$178 million	—	$623 thousand	$210 million

FY2020	$142 million	—	$585 thousand	$171 million

FY2021	$125 million	—	$530 thousand	$168 million

FY2022	$151 million	—	$726 thousand	$186 million

FY2023	$165 million	—	$939 thousand	$235 million

FY2024	$191 million	—	$824 thousand	$261 million

FY2025	$248 million	—	$983 thousand	$287 million

FY2026	$286 million	$1.55 million	$783 thousand	$537 million

FY2027	—	—	—	$466 million

General Fund	$45.6 million	$44.3 million
GF	2501 General Fund Appropriation	$45.6 million	$44.3 million

General Fund

2501 General Fund Appropriation

Fees, licences and tuition	$1.58 million	$32.7 million
OF	3601 Licenses and Fees	$0	$31.2 million
OF	3728 Health Cost Containment Fee	$1.25 million	$1.25 million
OF	3729 Audit Fees	$171 thousand	$171 thousand
OF	3730 Cpe Audit Fees	$168 thousand	$168 thousand

Fees, licences and tuition

3601 Licenses and Fees

3728 Health Cost Containment Fee

3729 Audit Fees

3730 Cpe Audit Fees

Everything else	$27.2 million	$2.79 million
OF	4209 Recoveries	$2.13 million	$2.05 million
OF	4356 Katie Beckett Premiums	$0	$518 thousand
OF	4103 County Reimbursements	$90.3 thousand	$90.3 thousand
OF	4157 Cost Containment Fines	$83.6 thousand	$83.6 thousand
OF	4151 CIVIL Penalties	$41.9 thousand	$41.9 thousand
OF	4563 Hospital Assess for Counties	$24.8 million	$0

Everything else

4209 Recoveries

4356 Katie Beckett Premiums

4103 County Reimbursements

4157 Cost Containment Fines

4151 CIVIL Penalties

4563 Hospital Assess for Counties

Moved between state accounts · not new money	$8.09 million	$12.3 million
IA	4757 Transfer From Ba 3245	$3.65 million	$4.45 million
IA	4756 Transfer From Ba 3177	$2.93 million	$3.78 million
IA	4611 Transfer in Fed Arpa	$0	$1.87 million
IA	4671 Transfer From Dhhs-Opioid	$487 thousand	$607 thousand
IA	4752 Transfer From Ba 3160 LTC Provider Tax	$519 thousand	$519 thousand
IA	4750 Transfer From Ba 3157 Igt	$390 thousand	$390 thousand
IA	4762 Transfer From Traffic Safety-B	$0	$350 thousand
IA	4751 Transfer From Ba 3216 HCQC	$58.7 thousand	$259 thousand
IA	4761 Transfer From Traffic Safety-A	$56.6 thousand	$56.6 thousand

Moved between state accounts · not new money

4757 Transfer From Ba 3245

4756 Transfer From Ba 3177

4611 Transfer in Fed Arpa

4671 Transfer From Dhhs-Opioid

4752 Transfer From Ba 3160 LTC Provider Tax

4750 Transfer From Ba 3157 Igt

4762 Transfer From Traffic Safety-B

4751 Transfer From Ba 3216 HCQC

4761 Transfer From Traffic Safety-A

Carried over from last year · not new money	$650 thousand	$5.73 million
BF	2511 Balance Forward From Previous Year	$650 thousand	$5.73 million

Carried over from last year · not new money

2511 Balance Forward From Previous Year

Nevada Health Authority Director's Office

Where the money went

Budget vs spent, by budget account

Over time

Who pays for it

How the FY2026 budget got here

Notes