CARSON CITY, NEV. ? Adult diapers could be rationed and personal care assistants may need to buy their own disposable gloves to help cut $109 million from the state’s Medicaid costs, state lawmakers were told Tuesday.

Other Medicaid services being targeted in the effort to close Nevada’s $881 million budget deficit include ending so-called “optional services,” including adult vision, hearing and denture programs. Adult day care programs also could be cut, as well as outpatient programs for people with brain trauma.

The grim proposals outlined Tuesday before the Legislature’s Interim Finance Committee brought criticism and rebuke from lawmakers of both parties over Gov. Jim Gibbons’ comments that Nevada can no longer pay for “bloated government services.”

Gibbons has proposed eliminating public school mandates for class size and full-day kindergarten, and suspending collective bargaining for teachers. Public schools would lose $166 million, and administrators say hundreds if not thousands of teachers could lose their jobs.

The governor also has proposed closing the 140-year-old Nevada State Prison in Carson City, a juvenile corrections facility in Las Vegas, and said 234 state workers would be laid off. More across-the-board salary reductions might be necessary, Gibbons said.

In his special State of the State speech Monday night, the first-term Republican governor who faces a June 8 primary blamed legislators for the state’s budget crisis, saying “they gambled on new taxes and we all lost.” He has told state agencies to plan for their budgets to be cut by 10 percent.

“The Legislature didn’t cause this problem,” Senate Minority Leader Bill Raggio, R-Reno, said during Tuesday’s hearing. “We were able last session to delay some of this impact on the lives of a lot of Nevadans who really need some services.”

He said it’s a severe problem when legislators are “talking about reducing the number of diapers that incontinents will be able to get.”

Assembly Speaker Barbara Buckley, D-Las Vegas, said lawmakers raised revenue last session to avoid such cuts.