Administration

Official name: NVHA - Administration

Administration spent $286 million in FY2026 — 85% of a $336 million budget. It is the eighth-largest of the state's 587 budget accounts: about $1 in every $87 of all state spending.

That is 16% more than in FY2025 ($248 million), not adjusted for inflation.

Spent FY2026: $286 million$285,927,102
Budget FY2026: $336 millionplus $716 thousand held in reserve
Share of budget spent: 85%Spent ÷ budget
Change from FY2025: +15.5%FY2025: $248 million

99.2% of Nevada Health Authority Director's Office spending.

Spent each year, FY2006 onwards · dashed line: budgetBudget account 3158, looked up by its code in every year.

Year

Compare with

Where the money went

Explore Administration by category: 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 category

31 categories. The largest, Payments to State Agencies, accounts for 32% of the total.

Categories of Administration, FY2026
Category	Spent FY2026	Budget FY2026	% of budget spent	Share
Payments to State Agencies11

Spent and budget each fiscal year
Fiscal year	Spent	Budget
FY2006	$19.3 million	Not available
FY2007	$20.3 million	Not available
FY2008	$20.3 million	Not available
FY2009	$20.2 million	Not available
FY2010	$72.0 million	$77.7 million
FY2011	$75.1 million	$87.6 million
FY2012	$78.3 million	$128 million
FY2013	$108 million	$138 million
FY2014	$121 million	$142 million
FY2015	$147 million	$165 million
FY2016	$149 million	$169 million
FY2017	$165 million	$214 million
FY2018	$170 million	$198 million
FY2019	$178 million	$210 million
FY2020	$142 million	$170 million
FY2021	$125 million	$167 million
FY2022	$151 million	$185 million
FY2023	$165 million	$234 million
FY2024	$191 million	$260 million
FY2025	$248 million	$286 million
FY2026	$286 million	$336 million
FY2027	See note	$287 million

Fiscal Agent10	$55.2 millionof $58.5 million	$58.5 million	94%	19.3%

Personnel Services01	$41.6 millionof $46.0 million	$46.0 million	90%	14.6%

Unmet Freecare Obligations20	$36.2 millionof $36.2 million	$36.2 million	100%	12.7%

Operating04	$18.2 millionof $21.3 million	$21.3 million	85%	6.4%

Pass Thru to Local Govt24	$11.1 millionof $18.2 million	$18.2 million	61%	3.9%

Medicaid Modernization27	$8.23 millionof $30.9 million	$30.9 million	27%	2.9%

Recoup and Recoveries14	$7.46 millionof $7.61 million	$7.61 million	98%	2.6%

Pharmacy Benefit Manager15	$6.68 millionof $6.71 million	$6.71 million	100%	2.3%

All Payers Claim Data Base12	$1.80 millionof $1.96 million	$1.96 million	92%	0.6%

Arpa Managed Care Dir Pay Init18	$1.13 millionof $1.13 million	$1.13 million	100%	0.4%

CMS Schools Based SVCS Expansion48	$1.13 millionof $1.15 million	$1.15 million	98%	0.4%

Categories of Administration, FY2026, continued
Category	Spent FY2026	Budget FY2026	% of budget spent	Share
Health Information Exchange71	None recordedof $1.00 million	$1.00 million	—	—
Information Services26	$994 thousandof $1.06 million	$1.06 million	94%	0.3%
CMS - IT & Erh Prerelease Services49	$859 thousandof $1.65 million	$1.65 million	52%	0.3%
Waiver Support47	$690 thousandof $690 thousand	$690 thousand	100%	0.2%
Electronic Visit Verification22	$638 thousandof $753 thousand	$753 thousand	85%	0.2%
Arpa Oral Health for Kids35	$608 thousandof $621 thousand	$621 thousand	98%	0.2%
Fiscal Support61	$411 thousandof $1.27 million	$1.27 million	32%	0.1%
CDC Advance Oral Health Grant54	$383 thousandof $516 thousand	$516 thousand	74%	0.1%
Health Care Information Web Site31	$290 thousandof $349 thousand	$349 thousand	83%	0.1%
Sb390 Needs Assessment72	$205 thousandof $240 thousand	$240 thousand	86%	0.1%
In-State Travel03	$168 thousandof $179 thousand	$179 thousand	94%	0.1%
Oral Health Workforce Activity45	$162 thousandof $258 thousand	$258 thousand	63%	0.1%
Equipment05	$144 thousandof $188 thousand	$188 thousand	77%	0.1%
Training30	$99.1 thousandof $140 thousand	$140 thousand	71%	0.0%
Arpa Sys Improvement Projects34	$91.7 thousandof $115 thousand	$115 thousand	80%	0.0%
Out-Of-State Travel02	$20.1 thousandof $23.5 thousand	$23.5 thousand	86%	0.0%
Audit Expense09	$0of $171 thousand	$171 thousand	0%	0.0%
Ab 38960	$0No budget	Not available	—	0.0%
Money Follows Person PLNG Grant70	None recordedof $0	$0	—	—

Spent each year by categories
Fiscal year	Payments to State Agencies	Fiscal Agent	Personnel Services	Unmet Freecare Obligations	Operating	Other (26)	Budget
FY2006	—	$37.6 thousand	$4.25 million	—	$498 thousand	$1.33 million	—
FY2007	—	—	$5.10 million	—	$711 thousand	$934 thousand	—
FY2008	$12.7 million	$142 thousand	$5.67 million	—

Funding sources by group and revenue ledger code, FY2026 budget
Group	Revenue ledger	Legislature approved	Current budget
Federal funds	$183 million	$242 million
FF	3511 Fed Title XIX Receipts	$176 million	$232 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	$0	$1.65 million
FF	3588 Federal Grant- CMS School Based Services

Budget journey for FY2026: each step and the running total
Step	Amount	Running total
Governor recommended	$274 million	$274 million
Changes made by the Legislature	−$12.4 million= $262M	$262 million
Legislature approved	$262 million	$262 million
Federal money added after the session	+$59.1 million= $321M	$321 million
Money carried over from earlier years	+$5.08 million= $326M	$326 million
Other changes after the session	+$10.0 million= $336M	$336 million
Current budget	$336 million	$336 million

FY2009	$12.6 million	—	$6.56 million	—	$702 thousand	$249 thousand	—

FY2010	$17.2 million	$22.1 million	$16.7 million	—	$6.45 million	$1.13 million	$77.7 million

FY2011	$17.6 million	$22.7 million	$16.7 million	—	$4.09 million	$1.60 million	$87.6 million

FY2012	$17.8 million	$23.4 million	$16.3 million	—	$3.74 million	$2.38 million	$128 million

FY2013	$25.5 million	$30.0 million	$16.8 million	—	$3.93 million	$1.18 million	$138 million

FY2014	$38.4 million	$33.3 million	$17.8 million	—	$4.93 million	$2.76 million	$142 million

FY2015	$70.3 million	$32.1 million	$18.1 million	—	$4.98 million	$2.19 million	$165 million

FY2016	$62.1 million	$33.8 million	$18.1 million	—	$5.02 million	$13.3 million	$169 million

FY2017	$63.4 million	$32.6 million	$19.4 million	—	$6.27 million	$25.7 million	$214 million

FY2018	$67.4 million	$29.9 million	$20.8 million	—	$6.68 million	$30.3 million	$198 million

FY2019	$74.4 million	$30.6 million	$22.3 million	$306 thousand	$6.98 million	$29.4 million	$210 million

FY2020	$60.7 million	$28.3 million	$23.4 million	$437 thousand	$5.39 million	$12.0 million	$170 million

FY2021	$44.3 million	$37.2 million	$20.9 million	—	$5.51 million	$6.40 million	$167 million

FY2022	$65.5 million	$38.3 million	$23.7 million	—	$5.24 million	$6.01 million	$185 million

FY2023	$68.5 million	$42.9 million	$25.6 million	—	$6.81 million	$9.18 million	$234 million

FY2024	$55.1 million	$42.7 million	$22.7 million	$24.8 million	$7.23 million	$28.7 million	$260 million

FY2025	$91.8 million	$53.0 million	$36.6 million	$14.1 million	$12.5 million	$30.5 million	$286 million

FY2026	$91.4 million	$55.2 million	$41.6 million	$36.2 million	$18.2 million	$43.3 million	$336 million

FY2027	—	—	—	—	—	—	$287 million

General Fund	$45.4 million	$44.2 million
GF	2501 General Fund Appropriation	$45.4 million	$44.2 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

2511 Balance Forward From Previous Year

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

Administration

Where the money went

Budget vs spent, by category

Over time

Who pays for it

How the FY2026 budget got here

Notes