[Rev. 8/22/2025 11:16:16 AM]
κ2025 Statutes of Nevada, Page 2529κ
Senate Bill No. 168Senator Nguyen
CHAPTER 380
[Approved: June 6, 2025]
AN ACT relating to cannabis; revising requirements for the packaging and labeling of cannabis and cannabis products; revising the definition of usable cannabis; authorizing an agent of the Cannabis Compliance Board to issue a hold order for cannabis or a cannabis product only under certain circumstances; requiring the Board to adopt regulations governing hold orders; authorizing a cannabis cultivation facility and a cannabis production facility to engage in certain activities; requiring the Board to develop and maintain certain checklists; requiring the Board to post certain information on its Internet website; revising requirements concerning the amount of usable cannabis and THC that may be contained in a single package of cannabis or cannabis products; imposing requirements concerning a single package of an infused pre-roll; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law provides for the licensure and regulation of persons and establishments in the cannabis industry in this State by the Cannabis Compliance Board. (Title 56 of NRS) Section 6 of this bill authorizes an agent of the Board to issue a hold order for cannabis or a cannabis product to prohibit a person from transferring or moving the cannabis or cannabis product without the approval of the Board or an agent of the Board only in accordance with regulations adopted by the Board. Section 6 requires the Board to adopt such regulations governing hold orders and sets forth certain requirements for the content of those regulations.
Existing law defines adult-use cannabis production facility and medical cannabis production facility to mean a business that acquires, possesses, manufactures, delivers, transfers, supplies or sells adult-use cannabis products to adult-use cannabis retail stores or medical cannabis products to medical cannabis dispensaries, as applicable. (NRS 678A.060, 678A.205) Sections 8 and 9 of this bill revise those definitions to allow an adult-use cannabis production facility and medical cannabis production facility to engage in the acquisition, possession, packaging, supplying or selling of usable cannabis to adult-use cannabis retail stores or medical cannabis dispensaries, as applicable. Sections 5 and 17 of this bill revise the definition of usable cannabis set forth under existing law to exclude the seeds of a plant of the genus Cannabis and apply this definition throughout the provisions of existing law governing the medical and adult use of cannabis. Section 15 of this bill makes a conforming change to eliminate a reference to a provision that was repealed in section 17. Section 13.5 of this bill authorizes a cannabis cultivation facility and a cannabis production facility to acquire, possess, deliver, transfer, supply or sell the seeds of a plant of the genus Cannabis, branded merchandise and supplies related to cannabis to persons located within and outside this State, subject to certain requirements and restrictions.
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Existing law authorizes the Board to adopt regulations setting forth requirements relating to the packaging and labeling of cannabis and cannabis products. (NRS 678A.450) Section 10 of this bill prohibits those requirements from requiring: (1) a package of cannabis or cannabis products which is sold at wholesale to contain any label or tag other than a label or tag necessary for the functionality of any computer software used for the seed-to-sale tracking of cannabis adopted by the Board; and (2) a cannabis establishment to include any information on the label for any cannabis or a cannabis product that is already included on the packaging for the cannabis or cannabis product. Section 14 of this bill revises requirements concerning the labeling of cannabis products for the purpose of allowing information required to be included on a label to instead be included on packaging. Sections 3 and 4 of this bill define the terms label and packaging for the purposes of the provisions of existing law governing the medical and adult use of cannabis.
Section 12 of this bill requires the Board to develop and maintain standardized checklists for any item for which the Board requires a licensee to obtain the approval of the Board before it is used by the licensee. Section 13 of this bill requires the Board to post on its Internet website a list of frequently asked questions pertaining to the operations of licensees.
Existing law requires an adult-use cannabis product to be sold in a single package. (NRS 678D.420) Section 16 of this bill provides that cannabis, as well as adult-use cannabis products, sold to a consumer must be sold in a single package and revises requirements concerning the amount of usable cannabis and THC that a single package may contain. Section 16 requires a single package containing an infused pre-roll, as defined in section 2 of this bill, to contain a net weight of not more than 7 grams.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. Chapter 678A of NRS is hereby amended by adding thereto the provisions set forth as sections 2 to 6, inclusive, of this act.
Sec. 2. Infused pre-roll means an individual cannabis cigarette or joint that has been infused with concentrated cannabis.
Sec. 3. Label means written or printed material affixed to or included with cannabis or a cannabis product to provide identification or other information.
Sec. 4. Packaging means the immediate, consumer-facing wrapper or container in which cannabis or a cannabis product is packaged.
Sec. 5. 1. Usable cannabis means the dried leaves and flowers of a plant of the genus Cannabis, and any mixture or preparation thereof, that are appropriate for the medical use of cannabis or the adult use of cannabis.
2. The term does not include the seeds, stalks and roots of the plant.
Sec. 6. 1. An agent of the Board may issue a hold order for cannabis or a cannabis product to prohibit a person from transferring or moving the cannabis or cannabis product subject to the order without the approval of the Board or an agent of the Board only in accordance with the regulations adopted by the Board pursuant to this section.
2. The Board shall adopt regulations setting forth procedures and requirements for the issuance of a hold order for cannabis or a cannabis product. The regulations must:
κ2025 Statutes of Nevada, Page 2531 (CHAPTER 380, SB 168)κ
(a) Authorize an agent of the Board to issue a hold order only under circumstances in which cannabis or a cannabis product fails to satisfy a requirement set forth in this title or the regulations adopted pursuant thereto and constitutes a substantial hazard to the public health.
(b) Require that at or before the time of issuance of a hold order notice be provided to the cannabis establishment whose cannabis or cannabis product is subject to the hold order stating the reasons for the hold order.
(c) Require a hold order to be automatically terminated not later than 30 days after its issuance unless the Board, after notice and a hearing and for good cause shown, extends the duration of the hold order.
(d) Set forth the circumstances under which a hold order may be terminated. Such circumstances must include, without limitation, for cannabis or a cannabis product subject to a hold order because of the failure of any test conducted by a cannabis independent testing laboratory, the passing of that test upon retesting of the cannabis or cannabis product.
(e) Require the Board to publish guidelines concerning hold orders which are based on investigations conducted by the Board relating to such hold orders.
3. A person shall not transfer or move any cannabis or cannabis product for which a hold order has been issued pursuant to the regulations adopted pursuant to this section without the approval of the Board or an agent of the Board.
Sec. 7. NRS 678A.010 is hereby amended to read as follows:
678A.010 As used in this title, unless the context otherwise requires, the words and terms defined in NRS 678A.020 to 678A.240, inclusive, and sections 2 to 5, inclusive, of this act have the meanings ascribed to them in those sections.
Sec. 8. NRS 678A.060 is hereby amended to read as follows:
678A.060 Adult-use cannabis production facility means a business that:
1. Is licensed by the Board pursuant to NRS 678B.250; [and]
2. Acquires, possesses, manufactures, delivers, transfers, supplies or sells adult-use cannabis products to adult-use cannabis retail stores [.] ; and
3. Acquires, possesses, packages, supplies or sells usable cannabis to adult-use cannabis retail stores.
Sec. 9. NRS 678A.205 is hereby amended to read as follows:
678A.205 Medical cannabis production facility means a business that:
1. Is licensed by the Board pursuant to NRS 678B.210; [and]
2. Acquires, possesses, manufactures, delivers, transfers, transports, supplies or sells medical cannabis products to medical cannabis dispensaries [.] ; and
3. Acquires, possesses, packages, supplies or sells usable cannabis to medical cannabis dispensaries.
Sec. 10. NRS 678A.450 is hereby amended to read as follows:
678A.450 1. The Board may adopt regulations necessary or convenient to carry out the provisions of this title. Such regulations may include, without limitation:
κ2025 Statutes of Nevada, Page 2532 (CHAPTER 380, SB 168)κ
(a) Financial requirements for licensees.
(b) Establishing such education, outreach, investigative and enforcement mechanisms as the Board deems necessary to ensure the compliance of a licensee or registrant with the provisions of this title. Such mechanisms must include, without limitation:
(1) A system to educate, train and certify employees of the Board which:
(I) Each employee must complete before he or she may engage in inspections, investigations or audits; and
(II) At a minimum, includes training that is the same or substantially similar to any training that is required by the Board by regulation to be completed by a cannabis establishment agent before he or she may be employed by, volunteer at or provide labor to a cannabis establishment;
(2) A system to educate and advise licensees and registrants on compliance with the provisions of this title which may serve as an alternative to disciplinary action; and
(3) Establishing specific grounds for disciplinary action against a licensee or registrant who knowingly violates the law or engages in grossly negligent, unlawful or criminal conduct or an act or omission that poses an imminent threat to the health or safety of the public.
(c) Requirements for licensees or registrants relating to the cultivation, processing, manufacture, transport, distribution, testing, study, advertising and sale of cannabis and cannabis products.
(d) Policies and procedures to ensure that the cannabis industry in this State is economically competitive, inclusive of racial minorities, women and persons and communities that have been adversely affected by cannabis prohibition and accessible to persons of low-income seeking to start a business.
(e) Policies and procedures relating to the disclosure of the identities of the shareholders and the annual report of a cannabis establishment that is a publicly traded company.
(f) Reasonable restrictions on the signage, marketing, display and advertising of cannabis establishments. Such a restriction must not require a cannabis establishment to obtain the approval of the Board before using a logo, sign or advertisement.
(g) Provisions governing the sales of products and commodities made from hemp, as defined in NRS 557.160, or containing cannabidiol by cannabis establishments.
(h) Requirements relating to the packaging and labeling of cannabis and cannabis products. Such requirements must not require:
(1) Any package of cannabis or cannabis products which is sold at wholesale to contain any label or tag other than a label or tag necessary for the functionality of any computer software used for the seed-to-sale tracking of cannabis adopted by the Board; or
(2) A cannabis establishment to include any information on the label for cannabis or a cannabis product that is already included on the packaging for the cannabis or cannabis product.
2. The Board shall adopt regulations providing for the gathering and maintenance of comprehensive demographic information, including, without limitation, information regarding race, ethnicity, age and gender, concerning each:
κ2025 Statutes of Nevada, Page 2533 (CHAPTER 380, SB 168)κ
(a) Owner and manager of a cannabis establishment.
(b) Holder of a cannabis establishment agent registration card.
3. The Board shall adopt regulations providing for the investigation of unlicensed cannabis activities and the imposition of penalties against persons who engage in such activities. Such regulations must, without limitation:
(a) Establish penalties to be imposed for unlicensed cannabis activities, which may include, without limitation, the issuance of a cease and desist order or citation, the imposition of an administrative fine or civil penalty and other similar penalties.
(b) Set forth the procedures by which the Board may impose a penalty against a person for engaging in unlicensed cannabis activities.
(c) Set forth the circumstances under which the Board is required to refer matters concerning unlicensed cannabis activities to an appropriate state or local law enforcement agency.
4. The Board shall transmit the information gathered and maintained pursuant to subsection 2 to the Director of the Legislative Counsel Bureau for transmission to the Legislature on or before January 1 of each odd-numbered year.
5. The Board shall, by regulation, establish a pilot program for identifying opportunities for an emerging small cannabis business to participate in the cannabis industry. As used in this subsection, emerging small cannabis business means a cannabis-related business that:
(a) Is in existence, operational and operated for a profit;
(b) Maintains its principal place of business in this State; and
(c) Satisfies requirements for the number of employees and annual gross revenue established by the Board by regulation.
Sec. 11. Chapter 678B of NRS is hereby amended by adding thereto the provisions set forth as sections 12, 13 and 13.5 of this act.
Sec. 12. The Board shall develop and maintain standardized checklists for any item, including, without limitation, a menu item, packaging or equipment, for which the Board requires a licensee to obtain the approval of the Board before it is used by the licensee. Each checklist must set forth guidelines for obtaining the approval of the Board for the item and be designed to ensure fair and consistent oversight by the Board.
Sec. 13. The Board shall post on its Internet website a list of frequently asked questions pertaining to the operations of licensees. The list must be updated:
1. Each calendar quarter with relevant questions received by the Board during the immediately preceding calendar quarter; and
2. Not more than 30 days after the date on which the Board provides any training to licensees relating to the operation of licensees with relevant questions relating to the training provided.
Sec. 13.5. 1. Except as otherwise provided in subsection 2, a cannabis cultivation facility and a cannabis production facility may:
(a) Acquire, possess, deliver, transfer, supply or sell cannabis seeds, branded merchandise and supplies related to cannabis, including, without limitation, paraphernalia and other items related to the cultivation and production of cannabis, to persons located within and outside this State.
(b) For a cannabis cultivation facility, cultivate cannabis seeds for the purpose of engaging in the activities authorized by paragraph (a).
κ2025 Statutes of Nevada, Page 2534 (CHAPTER 380, SB 168)κ
2. Any activity authorized by subsection 1 must be conducted:
(a) In compliance with any applicable requirements and restrictions set forth in this title or established by the Board by regulation; and
(b) If the activity is directed toward a person who is located outside this State, in compliance with all applicable state and local laws governing the activity in the jurisdiction in which the person is located. A cannabis cultivation facility or cannabis production facility shall not engage in any activity authorized by subsection 1 that is directed toward a person who is located outside this State if any state or local law prohibits the activity in the jurisdiction in which the person is located.
3. As used in this section:
(a) Branded merchandise means any item which is not cannabis or a cannabis product and which contains the logo or other branding of a cannabis cultivation facility or cannabis production facility, including, without limitation, an article of clothing, pen, bag or other similar item that contains such a logo or such branding.
(b) Cannabis seed means a seed of a plant of the genus Cannabis.
Sec. 14. NRS 678B.520 is hereby amended to read as follows:
678B.520 1. Each cannabis establishment shall, in consultation with the Board, cooperate to ensure that all cannabis products offered for sale:
(a) Are labeled clearly and unambiguously:
(1) As cannabis with the words THIS PRODUCT CONTAINS CANNABIS in bold type . [; and] The provisions of this subparagraph do not apply if those words in bold type are included on the packaging of the cannabis product.
(2) As required by the provisions of this chapter and chapters 678C and 678D of NRS.
(b) Are not presented in packaging that contains an image of a cartoon character, mascot, action figure, balloon or toy, except that such an item may appear in the logo of the cannabis production facility which produced the product.
(c) Are regulated and sold on the basis of the concentration of THC in the products and not by weight.
(d) Are packaged and labeled in such a manner as to allow tracking by way of an inventory control system.
(e) Are not packaged and labeled in a manner which is modeled after a brand of products primarily consumed by or marketed to children.
(f) Are labeled in a manner or presented in packaging which indicates the amount of THC in the product, measured in milligrams, and includes a statement that the product contains cannabis and its potency was tested with an allowable variance of the amount determined by the Board by regulation.
(g) Are not labeled or marketed as candy.
(h) Are labeled with [:] or presented in packaging that includes:
(1) The words Keep out of reach of children;
(2) A list of all ingredients used in the cannabis product;
(3) A list of all major food allergens in the cannabis product; and
(4) Any other information the Board may require by regulation.
2. A cannabis production facility shall not produce cannabis products in any form that:
κ2025 Statutes of Nevada, Page 2535 (CHAPTER 380, SB 168)κ
(a) Is or appears to be a lollipop.
(b) Bears the likeness or contains characteristics of a real or fictional person, animal or fruit, including, without limitation, a caricature, cartoon or artistic rendering.
(c) Is modeled after a brand of products primarily consumed by or marketed to children.
(d) Is made by applying concentrated cannabis, as defined in NRS 453.042, to a commercially available candy or snack food item other than dried fruit, nuts or granola.
3. A cannabis production facility shall:
(a) Seal any cannabis product that consists of cookies or brownies in a bag or other container which is not transparent.
(b) Maintain a hand washing area with hot water, soap and disposable towels which is located away from any area in which cannabis products are cooked or otherwise prepared.
(c) Require each person who handles cannabis products to restrain his or her hair, wear clean clothing and keep his or her fingernails neatly trimmed.
(d) Package all cannabis products produced by the cannabis production facility on the premises of the cannabis production facility.
4. A cannabis establishment shall not engage in advertising that in any way makes cannabis or cannabis products appeal to children, including, without limitation, advertising which uses an image of a cartoon character, mascot, action figure, balloon, fruit or toy.
5. Each cannabis sales facility shall offer for sale containers for the storage of cannabis and cannabis products which lock and are designed to prohibit children from unlocking and opening the container.
6. A cannabis sales facility shall:
(a) Convey to each purchaser of cannabis or cannabis products the following information in a manner prescribed by the Board:
(1) To keep cannabis and cannabis products out of the reach of children;
(2) That cannabis products can cause severe illness in children;
(3) That allowing children to ingest cannabis or cannabis products or storing cannabis or cannabis products in a location which is accessible to children may result in an investigation by an agency which provides child welfare services or criminal prosecution for child abuse or neglect;
(4) That the intoxicating effects of edible cannabis products may be delayed by 2 hours or more and users of edible cannabis products should initially ingest a small amount of the product, then wait at least 120 minutes before ingesting any additional amount of the product;
(5) That pregnant women should consult with a physician before ingesting cannabis or cannabis products;
(6) That ingesting cannabis or cannabis products with alcohol or other drugs, including prescription medication, may result in unpredictable levels of impairment and that a person should consult with a physician before doing so;
(7) That cannabis or cannabis products can impair concentration, coordination and judgment and a person should not operate a motor vehicle while under the influence of cannabis or cannabis products; and
(8) That ingestion of any amount of cannabis or cannabis products before driving may result in criminal prosecution for driving under the influence.
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(b) Enclose all cannabis and cannabis products in opaque, child-resistant packaging upon sale.
7. A cannabis sales facility shall allow any person who is at least 21 years of age to enter the premises of the cannabis sales facility.
8. If the health authority, as defined in NRS 446.050, where a cannabis production facility, cannabis sales facility or cannabis consumption lounge which sells edible cannabis products is located requires persons who handle food at a food establishment to obtain certification, the cannabis production facility, cannabis sales facility or cannabis consumption lounge shall ensure that at least one employee maintains such certification.
9. A cannabis production facility may sell a commodity or product made using hemp, as defined in NRS 557.160, or containing cannabidiol to a cannabis sales facility.
10. In addition to any other product authorized by the provisions of this title, a cannabis sales facility may sell:
(a) Any commodity or product made using hemp, as defined in NRS 557.160;
(b) Any commodity or product containing cannabidiol with a THC concentration of not more than 0.3 percent; and
(c) Any other product specified by regulation of the Board.
11. A cannabis establishment:
(a) Shall not engage in advertising which contains any statement or illustration that:
(1) Is false or misleading;
(2) Promotes overconsumption of cannabis or cannabis products;
(3) Depicts the actual consumption of cannabis or cannabis products; or
(4) Depicts a child or other person who is less than 21 years of age consuming cannabis or cannabis products or objects suggesting the presence of a child, including, without limitation, toys, characters or cartoons, or contains any other depiction which is designed in any manner to be appealing to or encourage consumption of cannabis or cannabis products by a person who is less than 21 years of age.
(b) Shall not advertise in any publication or on radio, television or any other medium if 30 percent or more of the audience of that medium is reasonably expected to be persons who are less than 21 years of age.
(c) Shall not place an advertisement:
(1) Within 1,000 feet of a public or private school, playground, public park or library, but may maintain such an advertisement if it was initially placed before the school, playground, public park or library was located within 1,000 feet of the location of the advertisement;
(2) On or inside of a motor vehicle used for public transportation or any shelter for public transportation;
(3) At a sports event to which persons who are less than 21 years of age are allowed entry; or
(4) At an entertainment event if it is reasonably estimated that 30 percent or more of the persons who will attend that event are less than 21 years of age.
(d) Shall not advertise or offer any cannabis or cannabis product as free or donated without a purchase.
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(e) Shall ensure that all advertising by the cannabis establishment contains such warnings as may be prescribed by the Board, which must include, without limitation, the following words:
(1) Keep out of reach of children; and
(2) For use only by adults 21 years of age and older.
(f) Shall ensure that all advertising by the cannabis establishment contains:
(1) The name of the cannabis establishment; and
(2) Except as otherwise provided in subsection 12, the adult-use cannabis establishment license number or medical cannabis establishment license number of the cannabis establishment or any other unique identifier assigned to the cannabis establishment by the Board.
12. A cannabis establishment that holds more than one license may satisfy the requirement set forth in subparagraph (2) of paragraph (f) of subsection 11 if the cannabis establishment includes in all advertising conducted by the cannabis establishment:
(a) Any one of the adult-use cannabis establishment license numbers or medical cannabis establishment license numbers of the cannabis establishment; or
(b) Any one unique identifier assigned to the cannabis establishment by the Board.
13. Nothing in subsection 11 shall be construed to prohibit a local government, pursuant to chapter 244, 268 or 278 of NRS, from adopting an ordinance for the regulation of advertising relating to cannabis which is more restrictive than the provisions of subsection 11 relating to:
(a) The number, location and size of signs, including, without limitation, any signs carried or displayed by a natural person;
(b) Handbills, pamphlets, cards or other types of advertisements that are distributed, excluding an advertisement placed in a newspaper of general circulation, trade publication or other form of print media;
(c) Any stationary or moving display that is located on or near the premises of a cannabis establishment; and
(d) The content of any advertisement used by a cannabis establishment if the ordinance sets forth specific prohibited content for such an advertisement.
14. If a cannabis establishment engages in advertising for which it is required to determine the percentage of persons who are less than 21 years of age and who may reasonably be expected to view or hear the advertisement, the cannabis establishment shall maintain documentation for not less than 5 years after the date on which the advertisement is first broadcasted, published or otherwise displayed that demonstrates the manner in which the cannabis establishment determined the reasonably expected age of the audience for that advertisement.
15. To the extent that they are inconsistent or otherwise conflict with the regulations adopted by the Board pursuant to NRS 678D.480, the requirements of this section pertaining to cannabis products do not apply to ready-to-consume cannabis products prepared and sold by a cannabis consumption lounge.
16. In addition to any other penalties provided for by law, the Board may impose a civil penalty upon a cannabis establishment that violates the provisions of subsection 11 or 14 as follows:
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(a) For the first violation in the immediately preceding 2 years, a civil penalty not to exceed $1,250.
(b) For the second violation in the immediately preceding 2 years, a civil penalty not to exceed $2,500.
(c) For the third violation in the immediately preceding 2 years, a civil penalty not to exceed $5,000.
(d) For the fourth violation in the immediately preceding 2 years, a civil penalty not to exceed $10,000.
17. As used in this section, motor vehicle used for public transportation does not include a taxicab, as defined in NRS 706.124.
Sec. 15. NRS 678D.005 is hereby amended to read as follows:
678D.005 As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 678D.010 [to 678D.040, inclusive,] , 678D.020 and 678D.030 have the meanings ascribed to them in those sections.
Sec. 16. NRS 678D.420 is hereby amended to read as follows:
678D.420 1. An adult-use edible cannabis product or an adult-use cannabis-infused product must be labeled in a manner which indicates the number of servings of THC in the product, measured in servings of a maximum of 10 milligrams per serving.
2. [An] Cannabis intended for the adult-use of cannabis and an adult-use cannabis product must be sold to a consumer in a single package. A single package must not contain:
(a) More than [1 ounce] 2.5 ounces of usable cannabis . [or one-eighth of an ounce of]
(b) For concentrated cannabis [.] , more than 3,500 milligrams of THC.
[(b)] (c) For an adult-use cannabis product sold as a capsule, more than 100 milligrams of THC per capsule or more than [800] 1,000 milligrams of THC per package.
[(c)] (d) For an adult-use cannabis product sold as a tincture, more than [800] 1,000 milligrams of THC.
[(d)] (e) For an adult-use edible cannabis product, more than 100 milligrams of THC.
[(e)] (f) For an adult-use cannabis product sold as a topical product, a concentration of more than 6 percent THC or more than [800] 2,500 milligrams of THC per package.
[(f)] (g) For an adult-use cannabis product sold as a suppository or transdermal patch, more than 100 milligrams of THC per suppository or transdermal patch or more than [800] 1,000 milligrams of THC per package.
[(g)] (h) For any other adult-use cannabis product, more than [800] 1,000 milligrams of THC.
(i) For an infused pre-roll, a net weight of more than 7 grams.
3. To the extent that they are inconsistent or otherwise conflict with the regulations adopted by the Board pursuant to NRS 678D.480, the requirements of this section do not apply to a ready-to-consume cannabis product prepared and sold by a cannabis consumption lounge.
Sec. 17. NRS 678C.100 and 678D.040 are hereby repealed.
Sec. 18. This act becomes effective upon passage and approval.
________
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Senate Bill No. 170Senators Steinbeck and Scheible
CHAPTER 381
[Approved: June 6, 2025]
AN ACT relating to industrial insurance; requiring a firefighter who is not employed by the Executive Department of the State Government or volunteer firefighter to submit to an annual cancer screening for certain industrial insurance coverage for cancer; revising provisions governing the administration of physical examinations required of certain firefighters, arson investigators and police officers who are not employed by the Executive Department of the State Government for certain industrial insurance coverage for lung disease and heart disease; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Under existing law, an employee who contracts an occupational disease arising out of and in the course of his or her employment is generally entitled to receive compensation under industrial insurance. (Chapter 617 of NRS) Existing law provides that certain diseases of the lungs and heart contracted by certain firefighters, arson investigators, volunteer firefighters and police officers are occupational diseases for which the employee is entitled to compensation under certain circumstances. Under existing law, an employee covered by those provisions is required to submit to a physical examination upon employment, upon commencement of coverage and periodically thereafter, the frequency of which depends on the age and occupation of the employee. (NRS 617.455, 617.457) Sections 2-4 of this bill revise requirements for the administering of such a physical examination for an employee who is not an employee in the Executive Department of the State Government. Effective July 1, 2026, section 2: (1) requires such a physical examination to be administered, when possible, by a licensed physician or advanced practice registered nurse who is knowledgeable about the physical demands of firefighting and law enforcement; and (2) sets forth various tests and examinations that such a physical examination must include.
Under existing law, cancer contracted by certain firefighters, volunteer firefighters or certain other employees resulting in either temporary or permanent disability or death is an occupational disease and compensable under industrial insurance under certain circumstances. (NRS 617.453) Effective July 1, 2026, section 1 of this bill requires a firefighter, other than a firefighter who is an employee in the Executive Department of the State Government, or volunteer firefighter to submit to a cancer screening upon commencement of coverage, thereafter on an annual basis during his or her employment and, if provided by the employer, upon employment. Section 2 sets forth various requirements for the administration of such a cancer screening.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. NRS 617.453 is hereby amended to read as follows:
617.453 1. Notwithstanding any other provision of this chapter, cancer, resulting in either temporary or permanent disability, or death, is an occupational disease and compensable as such under the provisions of this chapter if:
κ2025 Statutes of Nevada, Page 2540 (CHAPTER 381, SB 170)κ
(a) The cancer develops or manifests itself out of and in the course of the employment of a person who, for 5 years or more, has been:
(1) Employed in this State in a full-time salaried occupation as:
(I) A firefighter for the benefit or safety of the public;
(II) An investigator of fires or arson; or
(III) An instructor or officer for the provision of training concerning fire or hazardous materials; or
(2) Acting as a volunteer firefighter in this State and is entitled to the benefits of chapters 616A to 616D, inclusive, of NRS pursuant to the provisions of NRS 616A.145; and
(b) It is demonstrated that:
(1) The person was exposed, while in the course of the employment, to a known carcinogen, or a substance reasonably anticipated to be a human carcinogen, as defined by the International Agency for Research on Cancer or the National Toxicology Program; and
(2) The carcinogen or substance, as applicable, is reasonably associated with the disabling cancer.
2. With respect to a person who, for 5 years or more, has been employed in this State as a firefighter, investigator, instructor or officer described in subparagraph (1) of paragraph (a) of subsection 1, or has acted as a volunteer firefighter in this State as described in subparagraph (2) of paragraph (a) of subsection 1, the following substances shall be deemed, for the purposes of paragraph (b) of subsection 1, to be known carcinogens that are reasonably associated with the following disabling cancers:
(a) Diesel exhaust, formaldehyde and polycyclic aromatic hydrocarbon shall be deemed to be known carcinogens that are reasonably associated with bladder cancer.
(b) Acrylonitrile, formaldehyde and vinyl chloride shall be deemed to be known carcinogens that are reasonably associated with brain cancer.
(c) Asbestos, benzene, diesel exhaust and soot, digoxin, ethylene oxide, polychlorinated biphenyls and polycyclic aromatic hydrocarbon shall be deemed to be known carcinogens that are reasonably associated with breast cancer.
(d) Diesel exhaust and formaldehyde shall be deemed to be known carcinogens that are reasonably associated with colon cancer.
(e) Diesel exhaust and soot, formaldehyde and polycyclic aromatic hydrocarbon shall be deemed to be known carcinogens that are reasonably associated with esophageal cancer.
(f) Formaldehyde shall be deemed to be a known carcinogen that is reasonably associated with Hodgkins lymphoma.
(g) Formaldehyde and polycyclic aromatic hydrocarbon shall be deemed to be known carcinogens that are reasonably associated with kidney cancer.
(h) Benzene, diesel exhaust and soot, formaldehyde, 1,3-butadiene and polycyclic aromatic hydrocarbon shall be deemed to be known carcinogens that are reasonably associated with leukemia.
(i) Chloroform, soot and vinyl chloride shall be deemed to be known carcinogens that are reasonably associated with liver cancer.
(j) Arsenic, asbestos, cadmium, chromium compounds, oils, polycyclic aromatic hydrocarbon, radon, silica, soot and tars shall be deemed to be known carcinogens that are reasonably associated with lung cancer.
κ2025 Statutes of Nevada, Page 2541 (CHAPTER 381, SB 170)κ
(k) Acrylonitrile, benzene, formaldehyde, polycyclic aromatic hydrocarbon, soot and vinyl chloride shall be deemed to be known carcinogens that are reasonably associated with lymphatic or hematopoietic cancer.
(l) Diesel exhaust, soot, aldehydes and polycyclic aromatic hydrocarbon shall be deemed to be known carcinogens that are reasonably associated with basal cell carcinoma, squamous cell carcinoma and malignant melanoma.
(m) Benzene, dioxins and glyphosate shall be deemed to be known carcinogens that are reasonably associated with multiple myeloma.
(n) Arsenic, asbestos, benzene, diesel exhaust and soot, formaldehyde and hydrogen chloride shall be deemed to be known carcinogens that are reasonably associated with nasopharyngeal cancer, including laryngeal cancer and pharyngeal cancer.
(o) Benzene, chronic hepatitis B and C viruses, formaldehyde and polychlorinated biphenyls shall be deemed to be known carcinogens that are reasonably associated with non-Hodgkins lymphoma.
(p) Asbestos, benzene and formaldehyde shall be deemed to be known carcinogens that are reasonably associated with ovarian cancer.
(q) Polycyclic aromatic hydrocarbon shall be deemed to be a known carcinogen that is reasonably associated with pancreatic cancer.
(r) Acrylonitrile, benzene and formaldehyde shall be deemed to be known carcinogens that are reasonably associated with prostate cancer.
(s) Diesel exhaust and soot, formaldehyde and polycyclic aromatic hydrocarbon shall be deemed to be known carcinogens that are reasonably associated with rectal cancer.
(t) Chlorophenols, chlorophenoxy herbicides and polychlorinated biphenyls shall be deemed to be known carcinogens that are reasonably associated with soft tissue sarcoma.
(u) Diesel exhaust and soot, formaldehyde and polycyclic aromatic hydrocarbon shall be deemed to be known carcinogens that are reasonably associated with stomach cancer.
(v) Diesel exhaust, soot and polychlorinated biphenyls shall be deemed to be known carcinogens that are reasonably associated with testicular cancer.
(w) Diesel exhaust, benzene and X-ray radiation shall be deemed to be known carcinogens that are reasonably associated with thyroid cancer.
(x) Diesel exhaust and soot, formaldehyde and polycyclic aromatic hydrocarbon shall be deemed to be known carcinogens that are reasonably associated with urinary tract cancer and ureteral cancer.
(y) Benzene and polycyclic aromatic hydrocarbon shall be deemed to be known carcinogens that are reasonably associated with uterine cancer.
3. The provisions of subsection 2 do not create an exclusive list and do not preclude any person from demonstrating, on a case-by-case basis for the purposes of paragraph (b) of subsection 1, that a substance is a known carcinogen or is reasonably anticipated to be a human carcinogen, including an agent classified by the International Agency for Research on Cancer in Group 1 or Group 2A, that is reasonably associated with a disabling cancer.
4. Except as otherwise provided in subsection 10, compensation awarded to the employee or his or her dependents for disabling cancer pursuant to this section must include:
(a) Full reimbursement for related expenses incurred for medical treatments, surgery and hospitalization in accordance with the schedule of fees and charges established pursuant to NRS 616C.260 or, if the insurer has contracted with an organization for managed care or with providers of health care pursuant to NRS 616B.527, the amount that is allowed for the treatment or other services under that contract; and
κ2025 Statutes of Nevada, Page 2542 (CHAPTER 381, SB 170)κ
fees and charges established pursuant to NRS 616C.260 or, if the insurer has contracted with an organization for managed care or with providers of health care pursuant to NRS 616B.527, the amount that is allowed for the treatment or other services under that contract; and
(b) The compensation provided in chapters 616A to 616D, inclusive, of NRS for the disability or death.
5. For a person who has been employed in this State as a firefighter, investigator, instructor or officer described in subparagraph (1) of paragraph (a) of subsection 1, or has acted as a volunteer firefighter in this State as described in subparagraph (2) of paragraph (a) of subsection 1, disabling cancer is rebuttably presumed to have arisen out of and in the course of the employment of the person if the disease is diagnosed during the course of the persons employment described in paragraph (a) of subsection 1.
6. For a person who has been employed in this State as a firefighter, investigator, instructor or officer described in subparagraph (1) of paragraph (a) of subsection 1 and who retires before July 1, 2019, or has acted as a volunteer firefighter in this State as described in subparagraph (2) of paragraph (a) of subsection 1, regardless of the date on which the volunteer firefighter retires, disabling cancer is rebuttably presumed to have arisen out of and in the course of the persons employment pursuant to this subsection. This rebuttable presumption applies to disabling cancer diagnosed after the termination of the persons employment if the diagnosis occurs within a period, not to exceed 60 months, which begins with the last date the employee actually worked in the qualifying capacity and extends for a period calculated by multiplying 3 months by the number of full years of his or her employment.
7. For a person who has been employed in this State as a firefighter, investigator, instructor or officer described in subparagraph (1) of paragraph (a) of subsection 1 and who retires on or after July 1, 2019, disabling cancer is rebuttably presumed to have arisen out of and in the course of the persons employment pursuant to this subsection. This rebuttable presumption applies to disabling cancer diagnosed:
(a) If the person ceases employment before completing 20 years of service as a firefighter, investigator, instructor or officer, during the period after separation from employment which is equal to the number of years worked; or
(b) If the person ceases employment after completing 20 years or more of service as a firefighter, investigator, instructor or officer, at any time during the persons life.
8. Service credit which is purchased in a retirement system must not be used to calculate the number of years of service or employment of a person for the purposes of this section.
9. A rebuttable presumption created by subsection 5, 6 or 7 must control the awarding of benefits pursuant to this section unless evidence to rebut the presumption is presented. The provisions of subsections 5, 6 and 7 do not create a conclusive presumption.
10. A person who files a claim for a disabling cancer pursuant to subsection 7 after he or she retires from employment as a firefighter, investigator of fires or arson, or instructor or officer for the provision of training concerning fire or hazardous materials is not entitled to receive any compensation for that disease other than medical benefits.
κ2025 Statutes of Nevada, Page 2543 (CHAPTER 381, SB 170)κ
11. Each person who is employed as a firefighter, other than an employee in the Executive Department of the State Government, or acting as a volunteer firefighter and who is to be covered for cancer pursuant to the provisions of this section shall submit to a cancer screening:
(a) If provided by the employer, upon employment;
(b) Upon commencement of coverage; and
(c) Thereafter, on an annual basis during his or her employment.
12. All cancer screenings required pursuant to subsection 11 must be paid for by the employer.
Sec. 2. NRS 617.454 is hereby amended to read as follows:
617.454 1. Any physical examination administered pursuant to NRS 617.455 or 617.457 for an employee in the Executive Department of the State Government must include:
(a) A thorough test of the functioning of the hearing of the employee; and
(b) A purified protein derivative skin test to screen for exposure to tuberculosis.
2. Any physical examination administered pursuant to NRS 617.455 or 617.457 for an employee who is not an employee in the Executive Department of the State Government and any cancer screening administered pursuant to NRS 617.453 must be administered, when possible, by:
(a) A physician licensed pursuant to chapter 630 or 633 of NRS; or
(b) An advanced practice registered nurse licensed pursuant to NRS 632.237,
Κ who is knowledgeable about the physical demands of firefighting and law enforcement.
3. Any physical examination administered pursuant to NRS 617.455 or 617.457 for an employee who is not an employee in the Executive Department of the State Government must include:
(a) A thorough test of the functioning of the hearing of the employee, which must consist of:
(1) An air conduction test; or
(2) A pure-tone test that is performed:
(I) In a soundproof booth approved by the American National Standards Institute;
(II) Using frequencies ranging from 500 hertz to 8000 hertz; and
(III) Separately on each ear;
(b) A purified protein derivative skin test or tuberculin blood test to screen for exposure to tuberculosis;
(c) A physical examination, which must consist of:
(1) An examination of the vital signs of the employee, including, without limitation, the height, weight, blood pressure, temperature, heart rate and respiratory rate of the employee;
(2) An examination of the head, eyes, ears, nose and throat of the employee;
(3) An examination of the neck of the employee;
(4) A cardiovascular examination using the methods of inspection, auscultation, percussion and palpation;
(5) A pulmonary examination using the methods of inspection, auscultation, percussion and palpation;
κ2025 Statutes of Nevada, Page 2544 (CHAPTER 381, SB 170)κ
(6) A gastrointestinal examination using the methods of inspection, auscultation, percussion and palpation;
(7) A genitourinary examination;
(8) An examination of the cervical, auxiliary and inguinal lymph nodes of the employee;
(9) A neurological examination evaluating the general mental status of the employee;
(10) A cranial nerve examination;
(11) A peripheral nerve examination that tests for sensation, motor function and reflexes;
(12) A musculoskeletal examination that tests the range of motion for all joints; and
(13) An examination of the skin of the employee for color, vascularity, lesions and edema;
(d) An analysis of the blood of the employee, which must include, without limitation:
(1) A white blood cell count;
(2) A blood differential test;
(3) A red blood cell count;
(4) A platelet count;
(5) An aspartate aminotransferase test;
(6) An alanine aminotransferase test;
(7) A lactate dehydrogenase test;
(8) An alkaline phosphatase test;
(9) A bilirubin test;
(10) An albumin test;
(11) A blood glucose test;
(12) A creatinine test;
(13) A glomerular filtration rate test;
(14) A blood urea nitrogen test;
(15) A sodium test;
(16) A potassium test;
(17) A carbon dioxide test;
(18) A calcium test;
(19) A full lipid panel test;
(20) A thyroid stimulating hormone test;
(21) A cortisol test; and
(22) A test to detect hepatitis A, hepatitis B and hepatitis C;
(e) The pulmonary function test of spirometry;
(f) A posterior-anterior chest x-ray, which must be interpreted by a radiologist;
(g) An examination of the heart of the employee, which must include:
(1) A stethoscopic examination of the heart;
(2) A resting electrocardiogram;
(3) If the employee is 40 years of age or older or abnormalities were observed in the resting electrocardiogram, a stress electrocardiogram; and
(4) If the employee is 40 years of age or older and the test has not been performed in the immediately preceding 3 years, a coronary calcium score test; and
(h) A screening of the vision of the employee, which must include:
(1) The use of the Bailey-Lovie Chart; and
(2) A color vision test.
κ2025 Statutes of Nevada, Page 2545 (CHAPTER 381, SB 170)κ
4. A cancer screening administered pursuant to NRS 617.453 must include, without limitation:
(a) An examination of the skin of the employee;
(b) Except as otherwise provided in subsection 5, if the employee is a woman who is 40 years of age or older, a mammogram;
(c) Except as otherwise provided in subsection 5, if the employee is a woman, a pap smear;
(d) If the employee is a man, a prostate-specific antigen test;
(e) A thyroid examination to screen for palpable nodules;
(f) If the employee is a man, a testicular examination;
(g) A urinalysis performed using a dipstick that includes, without limitation:
(1) A pH test;
(2) A glucose test;
(3) A ketones test;
(4) A protein test;
(5) A blood test; and
(6) A bilirubin test;
(h) A fecal occult blood test; and
(i) If the employee is 45 years of age or older and the test has not been performed in the immediately preceding 10 years, a colonoscopy.
5. An employee who is a woman is not required to submit to a test specified in paragraph (b) or (c) of subsection 4 if the employee provides to the person administering the cancer screening a written certification from the primary care physician of the employee or a medical facility certifying that, in the 12 months immediately preceding the last cancer screening administered on the employee:
(a) The test was conducted on the employee; or
(b) The primary care physician or medical facility concluded that the test was unnecessary or not recommended for the employee.
6. Except as otherwise provided in subsection 8 of NRS 617.457, the tests required by this section must be paid for by the employer.
[3.] 7. Except as otherwise provided by the provisions governing privacy in the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, as amended, and applicable regulations, or an employees collective bargaining agreement, whichever is more restrictive:
(a) The results of a physical examination administered pursuant to NRS 617.455 or 617.457 or a cancer screening administered pursuant to NRS 617.453 may only be provided to:
(1) The examining physician;
(2) The employee;
(3) The employers officer who is responsible for risk management or human resources or his or her designee; and
(4) If the employee has filed a claim pursuant to NRS 617.453, 617.455 or 617.457, the insurer.
(b) A person who receives the results of a physical examination or cancer screening pursuant to paragraph (a) may only use the results for the purposes of:
(1) Complying with the requirements of NRS 617.453, 617.455 or 617.457, as applicable; or
(2) Creating a report pursuant to paragraph (c).
κ2025 Statutes of Nevada, Page 2546 (CHAPTER 381, SB 170)κ
(c) The employers officer who is responsible for risk management or human resources or his or her designee may create and release a report that is based on the results of a physical examination administered pursuant to NRS 617.455 or 617.457 or a cancer screening administered pursuant to NRS 617.453 to any person whom the employers officer determines has a need to know the information in the report. The report must only contain the following information:
(1) The name of the employee who was the subject of the physical examination [;] or cancer screening; and
(2) A statement that the employee, as applicable:
(I) Satisfies the physical qualifications required for his or her employment; or
(II) Does not satisfy the physical qualifications required for his or her employment.
Sec. 3. NRS 617.455 is hereby amended to read as follows:
617.455 1. Notwithstanding any other provision of this chapter, diseases of the lungs, resulting in either temporary or permanent disability or death, are occupational diseases and compensable as such under the provisions of this chapter if caused by exposure to heat, smoke, fumes, tear gas or any other noxious gases, arising out of and in the course of the employment of a person who, for 2 years or more, has been:
(a) Employed in this State in a full-time salaried occupation of fire fighting or the investigation of arson for the benefit or safety of the public;
(b) Acting as a volunteer firefighter in this State and is entitled to the benefits of chapters 616A to 616D, inclusive, of NRS pursuant to the provisions of NRS 616A.145; or
(c) Employed in a full-time salaried occupation as a police officer in this State.
2. Except as otherwise provided in subsection 3, each employee who is to be covered for diseases of the lungs pursuant to the provisions of this section shall submit to a physical examination [, including a thorough test of the functioning of his or her lungs and the making of an X-ray film of the employees lungs,] upon employment, upon commencement of the coverage, once every 2 years until the employee is 40 years of age or older and thereafter on an annual basis during his or her employment. If the employee is an employee in the Executive Department of the State Government, the physical examination must include a thorough test of the functioning of the lungs of the employee and the making of an X-ray film of the employees lungs.
3. Each volunteer firefighter who is to be covered for diseases of the lungs pursuant to the provisions of this section shall submit to:
(a) A physical examination upon employment and upon commencement of the coverage; and
(b) The making of an X-ray film of the volunteer firefighters lungs once every 3 years after the physical examination that is required upon commencement of the coverage,
Κ until the volunteer firefighter reaches the age of 50 years. Each volunteer firefighter who is 50 years of age or older shall submit to a physical examination once every 2 years during his or her employment. [As used in this subsection, physical examination includes the making of an X-ray film of the volunteer firefighters lungs but excludes a thorough test of the functioning of his or her lungs.]
κ2025 Statutes of Nevada, Page 2547 (CHAPTER 381, SB 170)κ
4. All physical examinations required pursuant to subsections 2 and 3 must be paid for by the employer.
5. A disease of the lungs is conclusively presumed to have arisen out of and in the course of the employment of a person who has been employed in a full-time continuous, uninterrupted and salaried occupation as a police officer, firefighter or arson investigator for 2 years or more before the date of disablement if the disease is diagnosed and causes the disablement:
(a) During the course of that employment;
(b) If the person ceases employment before completing 20 years of service as a police officer, firefighter or arson investigator, during the period after separation from employment which is equal to the number of years worked; or
(c) If the person ceases employment after completing 20 years or more of service as a police officer, firefighter or arson investigator, at any time during the persons life.
Κ Service credit which is purchased in a retirement system must not be calculated towards the years of service of a person for the purposes of this section.
6. Frequent or regular use of a tobacco product within 1 year, or a material departure from a physicians prescribed plan of care by a person within 3 months, immediately preceding the filing of a claim for compensation excludes a person who has separated from service from the benefit of the conclusive presumption provided in subsection 5.
7. Failure to correct predisposing conditions which lead to lung disease when so ordered in writing by the examining physician or advanced practice registered nurse, as applicable, after a physical examination required pursuant to subsection 2 or 3 excludes the employee from the benefits of this section if the correction is within the ability of the employee.
8. A person who is determined to be:
(a) Partially disabled from an occupational disease pursuant to the provisions of this section; and
(b) Incapable of performing, with or without remuneration, work as a firefighter, police officer or arson investigator,
Κ may elect to receive the benefits provided under NRS 616C.440 for a permanent total disability.
9. A person who files a claim for a disease of the lungs specified in this section after he or she retires from employment as a police officer, firefighter or arson investigator is not entitled to receive any compensation for that disease other than medical benefits.
10. The Administrator shall review a claim filed by a claimant pursuant to this section that has been in the appeals process for longer than 6 months to determine the circumstances causing the delay in processing the claim. As used in this subsection, appeals process means the period of time that:
(a) Begins on the date on which the claimant first files or submits a request for a hearing or an appeal of a determination regarding the claim; and
(b) Continues until the date on which the claim is adjudicated to a final decision.
11. Except as otherwise provided in this subsection, if an employer, insurer or third-party administrator denies a claim that was filed pursuant to this section and the claimant ultimately prevails, the Administrator may order the employer, insurer or third-party administrator, as applicable, to pay to the claimant a benefit penalty of not more than $200 for each day from the date on which an appeal is filed until the date on which the claim is adjudicated to a final decision.
κ2025 Statutes of Nevada, Page 2548 (CHAPTER 381, SB 170)κ
on which an appeal is filed until the date on which the claim is adjudicated to a final decision. Such benefit penalty is payable in addition to any benefits to which the claimant is entitled under the claim and any fines and penalties imposed by the Administrator pursuant to NRS 616D.120. If a hearing before a hearing officer is requested pursuant to NRS 616C.315 and held pursuant to NRS 616C.330, the employer, insurer or third-party administrator, as applicable, shall pay to the claimant all medical costs which are associated with the occupational disease and are incurred from the date on which the hearing is requested until the date on which the claim is adjudicated to a final decision. If the employer, insurer or third-party administrator, as applicable, ultimately prevails, the employer, insurer or third-party administrator, as applicable, is entitled to recover the amount paid pursuant to this subsection in accordance with the provisions of NRS 616C.138.
Sec. 4. NRS 617.457 is hereby amended to read as follows:
617.457 1. Notwithstanding any other provision of this chapter, diseases of the heart of a person who, for 2 years or more, has been employed in a full-time continuous, uninterrupted and salaried occupation as a firefighter, arson investigator or police officer in this State before the date of disablement are conclusively presumed to have arisen out of and in the course of the employment if the disease is diagnosed and causes the disablement:
(a) During the course of that employment;
(b) If the person ceases employment before completing 20 years of service as a police officer, firefighter or arson investigator, during the period after separation from employment which is equal to the number of years worked; or
(c) If the person ceases employment after completing 20 years or more of service as a police officer, firefighter or arson investigator, at any time during the persons life.
Κ Service credit which is purchased in a retirement system must not be calculated towards the years of service of a person for the purposes of this section.
2. Frequent or regular use of a tobacco product within 1 year, or a material departure from a physicians prescribed plan of care by a person within 3 months, immediately preceding the filing of a claim for compensation excludes a person who has separated from service from the benefit of the conclusive presumption provided in subsection 1.
3. Notwithstanding any other provision of this chapter, diseases of the heart, resulting in either temporary or permanent disability or death, are occupational diseases and compensable as such under the provisions of this chapter if caused by extreme overexertion in times of stress or danger and a causal relationship can be shown by competent evidence that the disability or death arose out of and was caused by the performance of duties as a volunteer firefighter by a person entitled to the benefits of chapters 616A to 616D, inclusive, of NRS pursuant to the provisions of NRS 616A.145 and who, for 5 years or more, has served continuously as a volunteer firefighter in this State by continuously maintaining an active status on the roster of a volunteer fire department.
4. Except as otherwise provided in subsection 5, each employee who is to be covered for diseases of the heart pursuant to the provisions of this section shall submit to a physical examination [, including an examination of the heart,] upon employment, upon commencement of coverage and thereafter on an annual basis during his or her employment.
κ2025 Statutes of Nevada, Page 2549 (CHAPTER 381, SB 170)κ
thereafter on an annual basis during his or her employment. If the employee is an employee in the Executive Department of the State Government, the physical examination must include an examination of the heart.
5. During the period in which a volunteer firefighter is continuously on active status on the roster of a volunteer fire department, a physical examination for the volunteer firefighter is required:
(a) Upon employment;
(b) Upon commencement of coverage; and
(c) Once every 3 years after the physical examination that is required pursuant to paragraph (b),
Κ until the firefighter reaches the age of 50 years. Each volunteer firefighter who is 50 years of age or older shall submit to a physical examination once every 2 years during his or her employment.
6. The employer of the volunteer firefighter is responsible for scheduling the physical examination. The employer shall mail to the volunteer firefighter a written notice of the date, time and place of the physical examination at least 10 days before the date of the physical examination and shall obtain, at the time of mailing, a certificate of mailing issued by the United States Postal Service.
7. Failure to submit to a physical examination that is scheduled by his or her employer pursuant to subsection 6 excludes the volunteer firefighter from the benefits of this section.
8. The chief of a volunteer fire department may require an applicant to pay for any physical examination required pursuant to this section if the applicant:
(a) Applies to the department for the first time as a volunteer firefighter; and
(b) Is 50 years of age or older on the date of his or her application.
9. The volunteer fire department shall reimburse an applicant for the cost of a physical examination required pursuant to this section if the applicant:
(a) Paid for the physical examination in accordance with subsection 8;
(b) Is declared physically fit to perform the duties required of a firefighter; and
(c) Becomes a volunteer with the volunteer fire department.
10. Except as otherwise provided in subsection 8, all physical examinations required pursuant to subsections 4 and 5 must be paid for by the employer.
11. Failure to correct predisposing conditions which lead to heart disease when so ordered in writing by the examining physician or advanced practice registered nurse, as applicable, subsequent to a physical examination required pursuant to subsection 4 or 5 excludes the employee from the benefits of this section if the correction is within the ability of the employee.
12. A person who is determined to be:
(a) Partially disabled from an occupational disease pursuant to the provisions of this section; and
(b) Incapable of performing, with or without remuneration, work as a firefighter, arson investigator or police officer,
Κ may elect to receive the benefits provided under NRS 616C.440 for a permanent total disability.
κ2025 Statutes of Nevada, Page 2550 (CHAPTER 381, SB 170)κ
13. Claims filed under this section may be reopened at any time during the life of the claimant for further examination and treatment of the claimant upon certification by a physician of a change of circumstances related to the occupational disease which would warrant an increase or rearrangement of compensation.
14. A person who files a claim for a disease of the heart specified in this section after he or she retires from employment as a firefighter, arson investigator or police officer is not entitled to receive any compensation for that disease other than medical benefits.
15. The Administrator shall review a claim filed by a claimant pursuant to this section that has been in the appeals process for longer than 6 months to determine the circumstances causing the delay in processing the claim. As used in this subsection, appeals process means the period of time that:
(a) Begins on the date on which the claimant first files or submits a request for a hearing or an appeal of a determination regarding the claim; and
(b) Continues until the date on which the claim is adjudicated to a final decision.
16. Except as otherwise provided in this subsection, if an employer, insurer or third-party administrator denies a claim that was filed pursuant to this section and the claimant ultimately prevails, the Administrator may order the employer, insurer or third-party administrator, as applicable, to pay to the claimant a benefit penalty of not more than $200 for each day from the date on which an appeal is filed until the date on which the claim is adjudicated to a final decision. Such benefit penalty is payable in addition to any benefits to which the claimant is entitled under the claim and any fines and penalties imposed by the Administrator pursuant to NRS 616D.120. If a hearing before a hearing officer is requested pursuant to NRS 616C.315 and held pursuant to NRS 616C.330, the employer, insurer or third-party administrator, as applicable, shall pay to the claimant all medical costs which are associated with the occupational disease and are incurred from the date on which the hearing is requested until the date on which the claim is adjudicated to a final decision. If the employer, insurer or third-party administrator, as applicable, ultimately prevails, the employer, insurer or third-party administrator, as applicable, is entitled to recover the amount paid pursuant to this subsection in accordance with the provisions of NRS 616C.138.
Sec. 5. The provisions of NRS 354.599 do not apply to any additional expenses of a local government that are related to the provisions of this act.
Sec. 6. This act becomes effective on July 1, 2026.
________
κ2025 Statutes of Nevada, Page 2551κ
Senate Bill No. 175Senators Rogich; and Cruz-Crawford
CHAPTER 382
[Approved: June 6, 2025]
AN ACT relating to educational personnel; requiring the Commission on Professional Standards in Education to adopt regulations authorizing a member or veteran of the Armed Forces of the United States who has received certain types of certification as an instructor in the Junior Reserve Officers Training Corps program to receive an endorsement to teach pupils enrolled in the Junior Reserve Officers Training Corps program; requiring school districts to consider certification as an instructor in the Junior Reserve Officers Training Corps program to satisfy qualifications for certain positions of employment applied for by a member or veteran of the Armed Forces of the United States; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law requires the Commission on Professional Standards in Education to adopt regulations relating to the qualifications to obtain: (1) a license to teach in this State; and (2) an endorsement to teach in a field of specialization. (NRS 391.019) Section 2.5 of this bill requires the Commission to adopt regulations authorizing a member or veteran of the Armed Forces of the United States who has received certification, including, without limitation, a temporary, provisional or advanced certification, as an instructor in the Junior Reserve Officers Training Corps program to receive an endorsement to teach pupils enrolled in the Junior Reserve Officers Training Corps program.
Existing law requires school districts to consider the Joint Services Transcript or a similar document of a veteran as credit towards such training, experience or licensure required for certain skilled positions of employment in that school district. (NRS 391.115) Section 3 of this bill applies these provisions to a person who is a member of the Armed Forces of the United States in addition to veterans. Section 3 also adds certification as an instructor in the Junior Reserve Officers Training Corps program as a specific certification on a Joint Services Transcript or a similar document for which credit must be provided by a school district.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Sections 1 and 2. (Deleted by amendment.)
Sec. 2.5. NRS 391.019 is hereby amended to read as follows:
391.019 1. Except as otherwise provided in NRS 391.027, the Commission shall adopt regulations:
(a) Prescribing the qualifications for licensing teachers and other educational personnel and the procedures for the issuance and renewal of those licenses. The regulations:
(1) Must include, without limitation, the qualifications for licensing teachers and administrators pursuant to an alternative route to licensure which provides that the required education and training may be provided by any qualified provider which has been approved by the Commission, including, without limitation, institutions of higher education and other providers that operate independently of an institution of higher education.
κ2025 Statutes of Nevada, Page 2552 (CHAPTER 382, SB 175)κ
including, without limitation, institutions of higher education and other providers that operate independently of an institution of higher education. The regulations adopted pursuant to this subparagraph must:
(I) Establish the requirements for approval as a qualified provider;
(II) Require a qualified provider to be selective in its acceptance of students;
(III) Require a qualified provider to provide in-person or virtual supervised, school-based experiences and ongoing support for its students, such as mentoring and coaching;
(IV) Significantly limit the amount of course work required or provide for the waiver of required course work for students who achieve certain scores on tests;
(V) Allow for the completion in 2 years or less of the education and training required under the alternative route to licensure;
(VI) Provide that a person who has completed the education and training required under the alternative route to licensure and who has satisfied all other requirements for licensure may apply for a regular license pursuant to sub-subparagraph (VII) regardless of whether the person has received an offer of employment from a school district, charter school or private school; and
(VII) Upon the completion by a person of the education and training required under the alternative route to licensure and the satisfaction of all other requirements for licensure, provide for the issuance of a regular license to the person pursuant to the provisions of this chapter and the regulations adopted pursuant to this chapter.
(2) Must require an applicant for a license to teach middle school or junior high school education or secondary education to demonstrate proficiency in a field of specialization or area of concentration by successfully completing course work prescribed by the Department or completing a subject matter competency examination prescribed by the Department with a score deemed satisfactory.
(3) Must not prescribe qualifications which are more stringent than the qualifications set forth in NRS 391.0315 for a licensed teacher who applies for an additional license in accordance with that section.
(b) Identifying fields of specialization in teaching which require the specialized training of teachers.
(c) Except as otherwise provided in NRS 391.125, requiring teachers to obtain from the Department an endorsement in a field of specialization to be eligible to teach in that field of specialization.
(d) Setting forth the educational requirements a teacher must satisfy to qualify for an endorsement in each field of specialization.
(e) Setting forth the qualifications and requirements for obtaining a license or endorsement to teach American Sign Language, including, without limitation, being registered with the Aging and Disability Services Division of the Department of Health and Human Services pursuant to NRS 656A.100 to engage in the practice of sign language interpreting in a primary or secondary educational setting.
κ2025 Statutes of Nevada, Page 2553 (CHAPTER 382, SB 175)κ
(f) Requiring teachers and other educational personnel to be registered with the Aging and Disability Services Division pursuant to NRS 656A.100 to engage in the practice of sign language interpreting in a primary or secondary educational setting if they:
(1) Provide instruction or other educational services; and
(2) Concurrently engage in the practice of sign language interpreting, as defined in NRS 656A.060.
(g) Prescribing course work on parental involvement and family engagement. The Commission shall:
(1) Work in cooperation with the Office of Parental Involvement and Family Engagement created by NRS 385.630 in developing the regulations required by this paragraph.
(2) Establish standards for professional development training which may be used to satisfy any course work requirement prescribed pursuant to this paragraph.
(h) Establishing the requirements for obtaining an endorsement on the license of a teacher, administrator or other educational personnel in cultural competency.
(i) Authorizing the Superintendent of Public Instruction to issue a license by endorsement to an applicant who holds an equivalent license or authorization issued by a governmental entity in another country if the Superintendent determines that the qualifications for the equivalent license or authorization are substantially similar to those prescribed pursuant to paragraph (a).
(j) Establishing the requirements for obtaining an endorsement on the license of a teacher, administrator or other educational personnel in teaching courses relating to financial literacy.
(k) Authorizing a person who is employed as a paraprofessional and enrolled in a program to become a teacher to complete an accelerated program of student teaching in the same or a substantially similar area in which the person is employed as a paraprofessional while remaining employed as a paraprofessional.
(l) Requiring the Department to accept a program of student teaching or other teaching experience completed in another state or foreign country by an applicant for a license if the Department determines that the program or experience substantially fulfills the standards of a program of student teaching in this State.
(m) Authorizing a person who is employed by a public school to provide support or other services relating to school psychology, if the person does not hold a license or endorsement as a school psychologist but is enrolled in a program that would allow the person to obtain such a license or endorsement, to complete a program of internship in school psychology while remaining employed in such a position.
(n) To carry out the provisions of NRS 391B.010.
(o) Authorizing a person who is a member of the Armed Forces of the United States or a veteran of the Armed Forces of the United States who has received certification as an instructor in the Junior Reserve Officers Training Corps program, as defined in NRS 391.115, to receive an endorsement to teach pupils enrolled in the Junior Reserve Officers Training Corps program.
κ2025 Statutes of Nevada, Page 2554 (CHAPTER 382, SB 175)κ
2. Except as otherwise provided in NRS 391.027, the Commission may adopt such other regulations as it deems necessary for its own government or to carry out its duties.
3. Any regulation which increases the amount of education, training or experience required for licensing:
(a) Must, in addition to the requirements for publication in chapter 233B of NRS, be publicized before its adoption in a manner reasonably calculated to inform those persons affected by the change.
(b) Must not become effective until at least 1 year after the date it is adopted by the Commission.
(c) Is not applicable to a license in effect on the date the regulation becomes effective.
Sec. 3. NRS 391.115 is hereby amended to read as follows:
391.115 1. If a person who is a member of the Armed Forces of the United States or a veteran of the Armed Forces of the United States submits an application for employment in a school district for a position that requires certain training, experience , certification or licensure in a skilled trade, the school district must consider any military education, training or occupational experience listed on a Joint Services Transcript or a similar document , including, without limitation, certification as an instructor in the Junior Reserve Officers Training Corps program, as credit towards any such required training, experience , certification or licensure.
2. As used in this section, certification as an instructor in the Junior Reserve Officers Training Corps program means any form of certification as an instructor in the Junior Reserve Officers Training Corps program set forth in 10 U.S.C. §§ 2031 et seq. issued by any department of the Armed Forces of the United States, including, without limitation, a temporary, provisional or advanced certification.
Sec. 4. 1. This section becomes effective upon passage and approval.
2. Sections 1 to 3, inclusive, of this act become effective:
(a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act; and
(b) On July 1, 2026, for all other purposes.
________
κ2025 Statutes of Nevada, Page 2555κ
Senate Bill No. 263Senators Cannizzaro, Pazina, Dondero Loop, Nguyen and Doρate
Joint Sponsors: Assemblymembers Dalia, Hardy, Gray, Yeager and Marzola
CHAPTER 383
[Approved: June 6, 2025]
AN ACT relating to crimes; expanding certain prohibitions relating to pornography involving minors; revising the penalties for certain crimes relating to pornography involving minors; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law provides that a person who knowingly prepares, advertises or distributes any item or material that depicts a minor engaging in or simulating, or assisting others to engage in or simulate, sexual conduct is guilty of a category B felony, punishable by imprisonment in the state prison for a minimum term of not less than 1 year and a maximum term of not more than 15 years, or by a fine of not more than $15,000 or both. (NRS 200.725) Section 2 of this bill expands this prohibition to include computer-generated child pornography. Section 2 also revises the applicable criminal penalties by: (1) providing that a person who is found guilty of a second or subsequent violation is guilty of a category A felony, punishable by imprisonment in the state prison for a minimum term of not less than 10 years and a maximum term of life with the possibility of parole; and (2) providing that a person who is found guilty of a violation of section 2 may not be convicted of a violation of section 3 of this bill for possessing the same material.
Existing law provides that a person who knowingly and willfully has in his or her possession any film, photograph or other visual presentation depicting a person under the age of 16 years as the subject of a sexual portrayal or engaging in, simulating or assisting others to engage in or simulate, sexual conduct is guilty of: (1) a category B felony for the first offense; and (2) a category A felony for any subsequent offense. (NRS 200.730) Section 3 expands this prohibition to include computer-generated child pornography.
Existing law requires a person convicted of a sexual offense to register as a sex offender and comply with certain other requirements. (NRS 179D.441, 179D.445, 179D.460) Existing law defines the term sexual offense for the purposes of these requirements to include any offense involving pornography and a minor. (NRS 179D.097) Because sections 2 and 3 expand the applicability of offenses involving pornography and a minor, sections 2 and 3 have the effect of requiring a person convicted of a violation of section 2 or 3 to: (1) register as a sex offender under certain circumstances; and (2) comply with certain other requirements applicable to sex offenders. Section 1 of this bill defines certain terms for the purposes of sections 2 and 3.
Section 4 of this bill makes a conforming change that is necessary to reflect the revision to the organization of existing law made by section 3.
κ2025 Statutes of Nevada, Page 2556 (CHAPTER 383, SB 263)κ
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. NRS 200.700 is hereby amended to read as follows:
200.700 As used in NRS 200.700 to 200.760, inclusive, unless the context otherwise requires:
1. Computer-generated child pornography means:
(a) Any visual depiction of:
(1) An actual child that has been created, adapted or modified to depict the child as the subject of a sexual portrayal or engaging in, or simulating, or assisting others to engage in or simulate, sexual conduct; or
(2) An actual person who is 18 years of age or older that has been created, adapted or modified to depict the person as a child and:
(I) As the subject of a sexual portrayal; or
(II) Engaging in, or simulating, or assisting others to engage in or simulate, sexual conduct; or
(b) Any visual representation that appears to depict a child as the subject of a sexual portrayal or engaging in, or simulating, or assisting others to engage in or simulate, sexual conduct, if the representation is:
(1) Created by the use of artificial intelligence or other computer technology capable of processing and interpreting specific data inputs to create a visual depiction; and
(2) Indistinguishable from a minor.
2. Indistinguishable means virtually indistinguishable, such that an ordinary person viewing the visual depiction would conclude that the visual depiction is of an actual minor.
3. Performance means any play, film, photograph, computer-generated image, electronic representation, dance or other visual presentation.
[2.] 4. Promote means to produce, direct, procure, manufacture, sell, give, lend, publish, distribute, exhibit, advertise or possess for the purpose of distribution.
[3.] 5. Sexual conduct means sexual intercourse, lewd exhibition of the genitals, fellatio, cunnilingus, bestiality, anal intercourse, excretion, sado-masochistic abuse, masturbation, or the penetration of any part of a persons body or of any object manipulated or inserted by a person into the genital or anal opening of the body of another.
[4.] 6. Sexual portrayal means the depiction of a person in a manner which appeals to the prurient interest in sex and which does not have serious literary, artistic, political or scientific value.
Sec. 2. NRS 200.725 is hereby amended to read as follows:
200.725 1. A person [who] shall not knowingly [prepares, advertises] prepare, advertise or [distributes any item] distribute any:
(a) Item or material that depicts a minor engaging in, or simulating, or assisting others to engage in or simulate, sexual conduct ; or
(b) Computer-generated child pornography.
2. A person who violates the provisions of subsection 1:
(a) For the first offense, is guilty of a category B felony and shall be punished by imprisonment in the state prison for a minimum term of not less than 1 year and a maximum term of not more than 15 years, or by a fine of not more than $15,000, or by both fine and imprisonment.
κ2025 Statutes of Nevada, Page 2557 (CHAPTER 383, SB 263)κ
than 1 year and a maximum term of not more than 15 years, or by a fine of not more than $15,000, or by both fine and imprisonment.
(b) For any subsequent offense, is guilty of a category A felony and shall be punished by imprisonment in the state prison for a minimum term of not less than 10 years and a maximum term of life with the possibility of parole, and may be further punished by a fine of not more than $15,000.
3. A person convicted of a violation of this section may not be convicted of a violation of NRS 200.730 for possessing the same visual presentation.
Sec. 3. NRS 200.730 is hereby amended to read as follows:
200.730 1. A person [who] shall not knowingly and willfully [has] have in his or her possession for any purpose any [film,] :
(a) Film, photograph or other visual presentation depicting a person under the age of 16 years as the subject of a sexual portrayal or engaging in or simulating, or assisting others to engage in or simulate, sexual conduct [:
1.] ; or
(b) Computer-generated child pornography.
2. A person who violates the provisions of subsection 1:
(a) For the first offense, is guilty of a category B felony and shall be punished by imprisonment in the state prison for a minimum term of not less than 1 year and a maximum term of not more than 6 years, and may be further punished by a fine of not more than $5,000.
[2.] (b) For any subsequent offense, is guilty of a category A felony and shall be punished by imprisonment in the state prison for a minimum term of not less than 1 year and a maximum term of life with the possibility of parole, and may be further punished by a fine of not more than $5,000.
Sec. 4. NRS 176.0931 is hereby amended to read as follows:
176.0931 1. If a defendant is convicted of a sexual offense, the court shall include in sentencing, in addition to any other penalties provided by law, a special sentence of lifetime supervision.
2. The special sentence of lifetime supervision commences after any period of probation or any term of imprisonment and any period of release on parole.
3. A person sentenced to lifetime supervision may petition the sentencing court or the State Board of Parole Commissioners for release from lifetime supervision. The sentencing court or the Board shall grant a petition for release from a special sentence of lifetime supervision if:
(a) The person has complied with the requirements of the provisions of NRS 179D.010 to 179D.550, inclusive;
(b) The person has not been convicted of an offense that poses a threat to the safety or well-being of others for an interval of at least 10 consecutive years after the persons last conviction or release from incarceration, whichever occurs later; and
(c) The person is not likely to pose a threat to the safety of others, as determined by a licensed, clinical professional who has received training in the treatment of sexual offenders, if released from lifetime supervision.
4. A person who is released from lifetime supervision pursuant to the provisions of subsection 3 remains subject to the provisions for registration as a sex offender and to the provisions for community notification, unless the person is otherwise relieved from the operation of those provisions pursuant to the provisions of NRS 179D.010 to 179D.550, inclusive.
κ2025 Statutes of Nevada, Page 2558 (CHAPTER 383, SB 263)κ
5. As used in this section:
(a) Offense that poses a threat to the safety or well-being of others includes, without limitation:
(1) An offense that involves:
(I) A victim less than 18 years of age;
(II) A crime against a child as defined in NRS 179D.0357;
(III) A sexual offense as defined in NRS 179D.097;
(IV) A deadly weapon, explosives or a firearm;
(V) The use or threatened use of force or violence;
(VI) Physical or mental abuse;
(VII) Death or bodily injury;
(VIII) An act of domestic violence;
(IX) Harassment, stalking, threats of any kind or other similar acts;
(X) The forcible or unlawful entry of a home, building, structure, vehicle or other real or personal property; or
(XI) The infliction or threatened infliction of damage or injury, in whole or in part, to real or personal property.
(2) Any offense listed in subparagraph (1) that is committed in this State or another jurisdiction, including, without limitation, an offense prosecuted in:
(I) A tribal court.
(II) A court of the United States or the Armed Forces of the United States.
(b) Sexual offense means:
(1) A violation of NRS 200.366, subsection 4 of NRS 200.400, NRS 200.710, 200.720, paragraph (b) of subsection 2 of NRS 200.730, paragraph (a) of subsection 1 of NRS 200.975, NRS 201.180, 201.230, 201.450, 201.540 or 201.550 or paragraph (a) or (b) of subsection 4 or paragraph (a) or (b) of subsection 5 of NRS 201.560;
(2) An attempt to commit an offense listed in subparagraph (1); or
(3) An act of murder in the first or second degree, kidnapping in the first or second degree, false imprisonment, burglary or invasion of the home if the act is determined to be sexually motivated at a hearing conducted pursuant to NRS 175.547.
________
κ2025 Statutes of Nevada, Page 2559κ
Senate Bill No. 312Committee on Health and Human Services
CHAPTER 384
[Approved: June 6, 2025]
AN ACT relating to health care; authorizing Indian tribes to determine if a person is presumptively eligible for Medicaid; creating the Tribal Health Authority Council; prescribing the procedure governing the operations of the Council; authorizing the appointment of the Coordinator of the Council; prescribing the duties of the Council; creating the Account for Tribal Health; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law creates the Department of Native American Affairs, which consists of the Executive Director, the Nevada Indian Commission and the Stewart Indian School Cultural Center and Museum. (NRS 233A.1003) Section 5 of this bill creates the Tribal Health Authority Council and establishes the membership of the Council. Section 4 of this bill defines the term Council to refer to the Council for the purposes of sections 4-9 of this bill. Section 6 of this bill: (1) establishes certain requirements governing the operation of the Council; (2) authorizes a member of the Council to participate through a remote technology system; and (3) provides for the election of the officers of the Council. Section 7 authorizes the Executive Director to appoint a Coordinator of the Council. Section 7 also requires the Department to provide any additional personnel, facilities, equipment and supplies to the Council. Section 8 of this bill prescribes the duties of the Council, which include adopting and periodically updating a plan to increase access to health care and address and eliminate barriers to health care for American Indians in this State. Section 1.5 of this bill authorizes the Council to request the drafting of not more than 2 legislative measures which relate to matters within the scope of the Council. Section 1.8 of this bill subjects those requests to certain provisions that apply to requests for the drafting of legislation that are submitted by nonlegislative requesters. Section 9 of this bill creates the Account for Tribal Health to fund the activities of the Council. Section 11 of this bill requires the Director of the Department of Health and Human Services to collaborate with the Council to develop a proposal to establish a program to reinvest certain federal funds received by this State under the Medicaid program.
Existing law requires the Department of Health and Human Services to administer Medicaid. (NRS 422.270) Additionally, existing federal law requires the Secretary of Health and Human Services to encourage enrollment of American Indians in Medicaid. (42 U.S.C. § 1320b-9) To the extent authorized by federal law, section 1 of this bill authorizes an Indian tribe to determine whether a person is presumptively eligible to receive benefits under Medicaid. Section 1 requires the Department to apply for any waiver of federal law or apply for any amendment to the State Plan for Medicaid to authorize an Indian tribe to make such determinations. Section 1 additionally requires the Department to provide to each Indian tribe that determines presumptive eligibility the resources, training and technical assistance necessary for the Indian tribe to accurately and effectively determine if a person is presumptively eligible to receive benefits under Medicaid. Section 2 of this bill makes a conforming change to indicate that the provisions of section 1 will be administered in the same manner as the provisions of existing law governing Medicaid.
κ2025 Statutes of Nevada, Page 2560 (CHAPTER 384, SB 312)κ
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. Chapter 422 of NRS is hereby amended by adding thereto a new section to read as follows:
1. To the extent authorized by federal law, an Indian tribe may determine whether a person is presumptively eligible to receive benefits under Medicaid.
2. The Department shall:
(a) Apply to the Secretary of Health and Human Services for any waiver of federal law or apply for any amendment of the State Plan for Medicaid that is necessary to carry out the provisions of subsection 1; and
(b) Fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements of the Federal Government for obtaining a waiver or amendment pursuant to paragraph (a).
3. The Department shall provide to each Indian tribe that determines presumptive eligibility pursuant to subsection 1 the resources, training and technical assistance necessary for the Indian tribe to accurately and effectively determine whether a person is presumptively eligible for benefits under Medicaid, including, without limitation, by:
(a) Developing and providing training to the representatives of the Indian tribe who are involved in determinations of presumptive eligibility, including, without limitation, through the distribution of training materials and conducting virtual and in-person training;
(b) Providing technical assistance and support to ensure that the Indian tribe has the tools necessary to make accurate determinations of presumptive eligibility in compliance with state and federal laws and regulations; and
(c) Ensuring that the Indian tribe is able to communicate with the Department and the Tribal Health Authority Council created by section 5 of this act concerning clarification, guidance and updates on changes in the policies or procedures of Medicaid.
4. As used in this section, Indian tribe means a federally recognized American Indian tribe pursuant to 25 C.F.R. §§ 83.1 to 83.12, inclusive.
Sec. 1.5. Chapter 218D of NRS is hereby amended by adding thereto a new section to read as follows:
1. The Tribal Health Authority Council created by section 5 of this act may request the drafting of not more than 2 legislative measures which relate to matters within the scope of the Council. The requests must be submitted to the Legislative Counsel on or before September 1 preceding a regular session.
2. Each request made pursuant to this section must be on a form prescribed by the Legislative Counsel. The legislative measures requested pursuant to this section must be prefiled on or before the third Wednesday in November preceding a regular session. A legislative measure that is not prefiled on or before that day shall be deemed withdrawn.
κ2025 Statutes of Nevada, Page 2561 (CHAPTER 384, SB 312)κ
Sec. 1.8. NRS 218D.100 is hereby amended to read as follows:
218D.100 1. The provisions of NRS 218D.100 to 218D.220, inclusive, and section 1.5 of this act apply to requests for the drafting of legislative measures for a regular session.
2. Except as otherwise provided by a specific statute, joint rule or concurrent resolution, the Legislative Counsel shall not honor a request for the drafting of a legislative measure if the request:
(a) Exceeds the number of requests authorized by NRS 218D.100 to 218D.220, inclusive, and section 1.5 of this act for the requester; or
(b) Is submitted by an authorized nonlegislative requester pursuant to NRS 218D.175 to 218D.220, inclusive, and section 1.5 of this act but is not in a subject related to the function of the requester.
3. The Legislative Counsel shall not:
(a) Honor a request to change the subject matter of a request for the drafting of a legislative measure after it has been submitted for drafting.
(b) Honor a request for the drafting of a legislative measure which has been combined in violation of Section 17 of Article 4 of the Nevada Constitution.
Sec. 2. NRS 232.320 is hereby amended to read as follows:
232.320 1. The Director:
(a) Shall appoint, with the consent of the Governor, administrators of the divisions of the Department, who are respectively designated as follows:
(1) The Administrator of the Aging and Disability Services Division;
(2) The Administrator of the Division of Welfare and Supportive Services;
(3) The Administrator of the Division of Child and Family Services;
(4) The Administrator of the Division of Health Care Financing and Policy; and
(5) The Administrator of the Division of Public and Behavioral Health.
(b) Shall administer, through the divisions of the Department, the provisions of chapters 63, 424, 425, 427A, 432A to 442, inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and section 1 of this act, 422.580, 432.010 to 432.133, inclusive, 432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, and 445A.010 to 445A.055, inclusive, and all other provisions of law relating to the functions of the divisions of the Department, but is not responsible for the clinical activities of the Division of Public and Behavioral Health or the professional line activities of the other divisions.
(c) Shall administer any state program for persons with developmental disabilities established pursuant to the Developmental Disabilities Assistance and Bill of Rights Act of 2000, 42 U.S.C. §§ 15001 et seq.
(d) Shall, after considering advice from agencies of local governments and nonprofit organizations which provide social services, adopt a master plan for the provision of human services in this State. The Director shall revise the plan biennially and deliver a copy of the plan to the Governor and the Legislature at the beginning of each regular session. The plan must:
(1) Identify and assess the plans and programs of the Department for the provision of human services, and any duplication of those services by federal, state and local agencies;
(2) Set forth priorities for the provision of those services;
κ2025 Statutes of Nevada, Page 2562 (CHAPTER 384, SB 312)κ
(3) Provide for communication and the coordination of those services among nonprofit organizations, agencies of local government, the State and the Federal Government;
(4) Identify the sources of funding for services provided by the Department and the allocation of that funding;
(5) Set forth sufficient information to assist the Department in providing those services and in the planning and budgeting for the future provision of those services; and
(6) Contain any other information necessary for the Department to communicate effectively with the Federal Government concerning demographic trends, formulas for the distribution of federal money and any need for the modification of programs administered by the Department.
(e) May, by regulation, require nonprofit organizations and state and local governmental agencies to provide information regarding the programs of those organizations and agencies, excluding detailed information relating to their budgets and payrolls, which the Director deems necessary for the performance of the duties imposed upon him or her pursuant to this section.
(f) Has such other powers and duties as are provided by law.
2. Notwithstanding any other provision of law, the Director, or the Directors designee, is responsible for appointing and removing subordinate officers and employees of the Department.
Sec. 3. Chapter 233A of NRS is hereby amended by adding thereto the provisions set forth as sections 4 to 9, inclusive, of this act.
Sec. 4. As used in sections 4 to 9, inclusive, of this act, unless the context otherwise requires, Council means the Tribal Health Authority Council.
Sec. 5. 1. The Tribal Health Authority Council is hereby created.
2. The Council consists of:
(a) The director of each health care facility located in this State which is operated by an Indian tribe that elects to participate, or his or her designee, as voting members.
(b) The following nonvoting members:
(1) One representative of the office of the Indian Health Service having jurisdiction over this State.
(2) Any person appointed by a state agency pursuant to subsection 3.
3. A state agency whose functions relate to health care may appoint a nonvoting member of the Council to serve as a liaison between the Council and the agency.
4. The members of the Council serve without compensation and are not entitled to the per diem and travel expenses provided for state officers and employees generally.
5. Each member of the Council who is an officer or employee of this State or a political subdivision of this State must be relieved from his or her duties without loss of regular compensation so that the officer or employee may prepare for and attend meetings of the Council and perform any work necessary to carry out the duties of the Council in the most timely manner practicable. A state agency or political subdivision of this State shall not require an officer or employee who is a member of the Council to make up the time the officer or employee is absent from work to carry out duties as a member of the Council or use annual leave or compensatory time for the absence.
κ2025 Statutes of Nevada, Page 2563 (CHAPTER 384, SB 312)κ
6. As used in this section, Indian tribe means a federally recognized American Indian tribe pursuant to 25 C.F.R. §§ 83.1 to 83.12, inclusive.
Sec. 6. 1. The Council shall meet:
(a) At least once each quarter; and
(b) At the times and places specified by a call of the Chair or a majority of the voting members of the Council.
2. A member of the Council may participate in the meeting through a remote technology system. A member appearing remotely may participate in the meeting as if the member were appearing in person.
3. A majority of the voting members of the Council constitutes a quorum for the transaction of business, and a majority of a quorum present at any meeting is sufficient for any official action taken by the Council.
4. If an alternate member attends a meeting of the Council in place of the regular member, the alternate member fully assumes the duties, rights and responsibilities of the replaced regular member for the duration of that meeting.
5. Except as otherwise provided in this subsection, the Council shall elect from the voting members a Chair and Vice Chair by a majority vote of the voting members of the Council. The Chair and Vice Chair serve until July 1 of the year following their election and may be reelected. If the position of Chair or Vice Chair becomes vacant, the position must be filled in the same manner as the original election for the remainder of the unexpired term.
6. As used in this section, remote technology system has the meaning ascribed to it in NRS 241.015.
Sec. 7. 1. The Executive Director of the Department may appoint the Coordinator of the Council. If appointed, the Coordinator:
(a) Is in the unclassified service of the State and serves at the pleasure of the Executive Director.
(b) Shall perform such duties as are directed by the Executive Director, as advised by the Council.
(c) Must not be a member of the Council.
2. The Department shall provide any additional personnel, facilities, equipment and supplies required by the Council to carry out the provisions of sections 4 to 9, inclusive, of this act.
Sec. 8. The Council shall:
1. Serve as the primary body to advise the Department, the Office of the Governor and the Department of Health and Human Services on matters concerning the health of American Indians.
2. Periodically assess the health of American Indians in this State and the quality of and accessibility to health care for those groups.
3. Based on the assessments conducted pursuant to subsection 2, adopt and periodically update a plan to increase access to health care and address and eliminate barriers to health care for American Indians in this State. The plan may include, without limitation, specific recommendations for programs, projects or activities that support the advancement of health initiatives for American Indians.
4. Identify issues related to the health of American Indians that the State is incapable of resolving and engage interested persons and entities as necessary to resolve those issues.
κ2025 Statutes of Nevada, Page 2564 (CHAPTER 384, SB 312)κ
Sec. 9. 1. The Account for Tribal Health is hereby created in the State General Fund. The Department shall administer the Account.
2. The Account is a continuing account without reversion. The money in the Account must be invested as the money in other state accounts is invested. The interest and income earned on the money in the Account, after deducting any applicable charges, must be credited to the Account. Claims against the Account must be paid as other claims against the State are paid.
3. The Department may apply for and accept gifts, grants, donations and money from the Federal Government or any other source for deposit in the Account.
4. The Department shall use the money in the Account to support the Council in the performance of the duties prescribed in sections 4 to 9, inclusive, of this act.
Sec. 10. (Deleted by amendment.)
Sec. 11. 1. The Director of the Department of Health and Human Services shall collaborate with the Tribal Health Authority Council created by section 5 of this act during the 2025-2026 interim to:
(a) Develop a proposal to establish a program to reinvest money obtained through the enhanced federal match for the provision of health care and public health services to American Indians; and
(b) On or before June 30, 2026:
(1) Submit a report on the proposal developed pursuant to paragraph (a) and any recommendations for legislation based on the proposal to the Director of the Legislative Counsel Bureau for transmittal to the Joint Interim Standing Committee on Health and Human Services; and
(2) Present the report at a meeting of the Joint Interim Standing Committee on Health and Human Services.
2. As used in this section, enhanced federal match means the 100 percent federal medical assistance percentage provided pursuant to 42 U.S.C. § 1396d(b) for health care services provided under Medicaid through an Indian Health Service facility.
Sec. 12. (Deleted by amendment.)
Sec. 13. 1. This section becomes effective upon passage and approval.
2. Sections 1 and 2 of this act become effective:
(a) Upon passage and approval for the purpose of performing any preparatory administrative tasks that are necessary to carry out the provisions of this act; and
(b) On January 1, 2026, for all other purposes.
3. Sections 1.5, 1.8 and 3 to 12, inclusive, of this act become effective on July 1, 2025.
________
κ2025 Statutes of Nevada, Page 2565κ
Senate Bill No. 329Senators Flores; Dondero Loop and Taylor
Joint Sponsors: Assemblymembers Goulding and Nguyen
CHAPTER 385
[Approved: June 6, 2025]
AN ACT relating to emergency response; authorizing the adoption of regulations requiring applicants for certification as an emergency medical technician, advanced emergency medical technician or paramedic to have completed training relating to care for elderly persons and persons with cognitive impairments; providing that receiving such training does not change the standard of care to which such first responders are held; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law requires each applicant for certification as an emergency medical technician, advanced emergency medical technician or paramedic to complete training concerning identifying and interacting with persons with developmental disabilities before initial certification. (NRS 450B.180) Existing law provides that a person who is required to obtain such training is not held to a higher standard of care and does not have a greater duty because he or she has received such training. (NRS 41.1391)
Section 1.5 of this bill authorizes a district board of health in a county whose population is 700,000 or more (currently only Clark County) or the State Board of Health, for all other counties, to adopt regulations requiring an applicant for certification as an emergency medical technician, advanced emergency medical technician or paramedic to have completed training relating to identifying, interacting with and providing care to elderly persons and persons who are cognitively impaired. Section 1.5 requires any such training to be developed and provided in collaboration with a nationally accredited or certified program with expertise in care for elderly persons and persons who are cognitively impaired. Section 3 of this bill provides that an emergency medical technician, advanced emergency medical technician or paramedic is not held to a higher standard of care and does not have a greater duty because he or she has received any training required by section 1.5.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. (Deleted by amendment.)
Sec. 1.5. Chapter 450B of NRS is hereby amended by adding thereto a new section to read as follows:
1. The board may, in consultation with persons who own or operate an ambulance and fire-fighting agencies, adopt regulations requiring that an applicant for certification as an emergency medical technician, advanced emergency medical technician or paramedic must have completed training concerning interacting with elderly persons and persons who are cognitively impaired. Any such regulations must require the training to include, without limitation, instruction concerning:
κ2025 Statutes of Nevada, Page 2566 (CHAPTER 385, SB 329)κ
(a) Recognizing and effectively interacting with elderly persons in relevant settings;
(b) Identifying signs of cognitive impairment in a person and using appropriate communication and de-escalation strategies in interacting with such a person; and
(c) Providing person-centered care tailored to elderly persons and persons who are cognitively impaired.
2. Any regulations adopted pursuant to this section must:
(a) Allow an applicant for certification who is subject to the regulations to have completed the training described in subsection 1 as part of a program of training completed pursuant to NRS 450B.1905, 450B.191 or 450B.195; and
(b) Require the training described in subsection 1 to be delivered by or developed by or in collaboration with a nationally accredited or certified program with expertise in care for elderly persons and persons who are cognitively impaired.
3. The board may not require a person who has completed any training required by this section as part of the program of training he or she completed pursuant to NRS 450B.1905, 450B.191 or 450B.195 to complete separate training.
Sec. 2. (Deleted by amendment.)
Sec. 3. NRS 41.1391 is hereby amended to read as follows:
41.1391 1. An attendant, firefighter employed by or serving as a volunteer with a fire-fighting agency, an emergency medical technician, advanced emergency medical technician, paramedic or a peace officer who has received the training required pursuant to NRS 289.605, 450B.160 or 450B.180 shall not be held to a higher standard of care and does not have a duty greater than had he or she not received the training with respect to the identification, diagnosis or treatment of a developmental disability.
2. An emergency medical technician, advanced emergency medical technician or paramedic who has received any training required by regulations adopted pursuant to section 1.5 of this act shall not be held to a higher standard of care and does not have a duty greater than had he or she not received the training with respect to the identification, diagnosis or treatment of an elderly person or person who is cognitively impaired.
Secs. 4 and 5. (Deleted by amendment.)
________
κ2025 Statutes of Nevada, Page 2567κ
Senate Bill No. 348Senators Pazina; and Buck
CHAPTER 386
[Approved: June 6, 2025]
AN ACT relating to health care; establishing a fee the State Public Health Laboratory is authorized to charge for certain examinations and tests for the discovery of certain diseases in infants; removing a requirement that the State Public Health Laboratory hold a public hearing under certain circumstances; requiring Medicaid to reimburse such examinations and tests separately from reimbursement for other labor and delivery services and newborn care; requiring the Director of the Department of Health and Human Services to request the establishment of a certain rate of reimbursement for such examinations and tests; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law requires the State Public Health Laboratory to make available, at such charges as may be established, to health officials, the Director of the State Department of Agriculture and licensed physicians of the State, proper laboratory facilities for the prompt diagnosis of communicable diseases. (NRS 439.240) Existing law requires the State Board of Health to adopt regulations governing examinations and tests required for the discovery in infants of preventable or inheritable disorders. Existing law further requires any physician, midwife, nurse, freestanding birthing center or hospital of any nature attending or assisting any infant, or the person who gave birth to any infant, at childbirth to: (1) examine the infant in accordance with those regulations; and (2) collect and send to the State Public Health Laboratory any specimens needed for the examinations and tests that must be performed by a laboratory. (NRS 442.008) Section 3 of this bill authorizes the State Public Health Laboratory, on or after January 1, 2026, to charge a fee of not more than $150 or the rate of reimbursement paid by Medicaid, whichever is less, for the required examinations and tests for the discovery in infants of preventable or inheritable disorders. Section 1 of this bill makes a conforming change to clarify that the State Public Health Laboratory establishes the fee for such examinations and tests pursuant to section 3. Section 3 also removes a requirement that the State Public Health Laboratory hold a public hearing before increasing that fee. Section 68.7 of this bill authorizes the State Public Health Laboratory, on or after July 1, 2025, and before January 1, 2026, to charge a fee of not more than $122 for the required examinations and tests for the discovery in infants of preventable or inheritable disorders.
Existing law requires the Department of Health and Human Services to administer the Medicaid program. (NRS 422.270) Section 3.7 of this bill requires the Director of the Department to provide reimbursement under Medicaid for the required examinations and tests for the discovery in infants of preventable or inheritable disorders separately from the reimbursement provided for other labor and delivery services and newborn care. Section 3.4 of this bill makes a conforming change to indicate that the provisions of section 3.7 will be administered in the same manner as the provisions of existing law governing Medicaid. Section 68.3 of this bill requires the Director to submit to the United States Secretary of Health and Human Services, to the extent that money is available and as soon as practicable, a request to include under Medicaid a rate of reimbursement of not more than $122 for such examinations and tests. Sections 3.7 and 68.3 authorize the Director to increase that rate of reimbursement to not more than $150 on or after January 1, 2026.
κ2025 Statutes of Nevada, Page 2568 (CHAPTER 386, SB 348)κ
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. NRS 439.240 is hereby amended to read as follows:
439.240 1. The University of Nevada School of Medicine shall maintain the State Public Health Laboratory, and may designate, establish or maintain such branch laboratories as may be necessary.
2. The purpose of the State Public Health Laboratory is:
(a) To make available, at such charges as may be established [,] or are prescribed pursuant to NRS 442.008, to health officials, the Director of the State Department of Agriculture and licensed physicians of the State, proper laboratory facilities for the prompt diagnosis of communicable diseases.
(b) To make necessary examinations and analyses of water, natural ice, sewage, milk, food and clinical material.
(c) To conduct research into the nature, cause, diagnosis and control of diseases.
(d) To undertake such other technical and laboratory duties as are in the interest of the health of the general public.
3. The person in charge of the State Public Health Laboratory, or the persons designee, must be a skilled bacteriologist.
4. The person in charge of the State Public Health Laboratory may have such technical assistants as that person, in cooperation with the University of Nevada School of Medicine, considers necessary.
5. Reports of investigations conducted at the State Public Health Laboratory may be published from time to time in bulletins and circulars.
6. If the University of Nevada School of Medicine designates a branch laboratory pursuant to subsection 1 that is operated or controlled by a public agency other than the University of Nevada School of Medicine, the public agency and the University of Nevada School of Medicine shall enter into a cooperative agreement pursuant to NRS 277.080 to 277.180, inclusive, concerning the branch laboratory. The cooperative agreement must include, without limitation, provisions setting forth the powers and duties of each party to the cooperative agreement.
Sec. 2. (Deleted by amendment.)
Sec. 3. NRS 442.008 is hereby amended to read as follows:
442.008 1. The State Board of Health shall adopt regulations governing examinations and tests required for the discovery in infants of preventable or inheritable disorders, including tests for the presence of sickle cell disease and its variants and sickle cell trait.
2. Except as otherwise provided in this subsection, the examinations and tests required pursuant to subsection 1 must include tests and examinations for each disorder recommended to be screened by the Health Resources and Services Administration of the United States Department of Health and Human Services by not later than 4 years after the recommendation is published. The State Board may exclude any such disorder upon request of the Chief Medical Officer or the person in charge of the State Public Health Laboratory based on:
(a) Insufficient funding to conduct testing for the disorder; or
(b) Insufficient resources to address the results of the examination and test.
κ2025 Statutes of Nevada, Page 2569 (CHAPTER 386, SB 348)κ
3. Any examination or test required by the regulations adopted pursuant to subsection 1 which must be performed by a laboratory must be sent to the State Public Health Laboratory. [If the State Public Health Laboratory increases the amount charged for performing such an examination or test pursuant to NRS 439.240, the Division shall hold a public hearing during which the State Public Health Laboratory shall provide to the Division a written and verbal fiscal analysis of the reasons for the increased charges.] The State Public Health Laboratory may charge a fee of not more than $150 or the rate of reimbursement paid by Medicaid pursuant to section 3.7 of this act, whichever is less, for all such examinations and tests required for the discovery in infants of preventable or inheritable disorders pursuant to this section.
4. Except as otherwise provided in subsection 7, the regulations adopted pursuant to subsection 1 concerning tests for the presence of sickle cell disease and its variants and sickle cell trait must require the screening for sickle cell disease and its variants and sickle cell trait of:
(a) Each newborn child who is susceptible to sickle cell disease and its variants and sickle cell trait as determined by regulations of the State Board of Health; and
(b) Each biological parent of a child who wishes to undergo such screening.
5. Any physician, midwife, nurse, freestanding birthing center or hospital of any nature attending or assisting in any way any infant, or the person who gave birth to any infant, at childbirth shall:
(a) Make or cause to be made an examination of the infant, including standard tests that do not require laboratory services, to the extent required by regulations of the State Board of Health as is necessary for the discovery of conditions indicating such preventable or inheritable disorders.
(b) Collect and send to the State Public Health Laboratory or cause to be collected and sent to the State Public Health Laboratory any specimens needed for the examinations and tests that must be performed by a laboratory and are required by the regulations adopted pursuant to subsection 1.
6. If the examination and tests reveal the existence of such conditions in an infant, the physician, midwife, nurse, freestanding birthing center or hospital attending or assisting at the birth of the infant shall immediately:
(a) Report the condition to the Chief Medical Officer or the representative of the Chief Medical Officer, the local health officer of the county or city within which the infant or the person who gave birth to the infant resides, and the local health officer of the county or city in which the child is born; and
(b) Discuss the condition with the parent, parents or other persons responsible for the care of the infant and inform them of the treatment necessary for the amelioration of the condition.
7. An infant is exempt from examination and testing if either parent files a written objection with the person or institution responsible for making the examination or tests.
8. As used in this section, sickle cell disease and its variants has the meaning ascribed to it in NRS 439.4927.
Sec. 3.4. NRS 232.320 is hereby amended to read as follows:
232.320 1. The Director:
(a) Shall appoint, with the consent of the Governor, administrators of the divisions of the Department, who are respectively designated as follows:
κ2025 Statutes of Nevada, Page 2570 (CHAPTER 386, SB 348)κ
(1) The Administrator of the Aging and Disability Services Division;
(2) The Administrator of the Division of Welfare and Supportive Services;
(3) The Administrator of the Division of Child and Family Services;
(4) The Administrator of the Division of Health Care Financing and Policy; and
(5) The Administrator of the Division of Public and Behavioral Health.
(b) Shall administer, through the divisions of the Department, the provisions of chapters 63, 424, 425, 427A, 432A to 442, inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and section 3.7 of this act, 422.580, 432.010 to 432.133, inclusive, 432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, and 445A.010 to 445A.055, inclusive, and all other provisions of law relating to the functions of the divisions of the Department, but is not responsible for the clinical activities of the Division of Public and Behavioral Health or the professional line activities of the other divisions.
(c) Shall administer any state program for persons with developmental disabilities established pursuant to the Developmental Disabilities Assistance and Bill of Rights Act of 2000, 42 U.S.C. §§ 15001 et seq.
(d) Shall, after considering advice from agencies of local governments and nonprofit organizations which provide social services, adopt a master plan for the provision of human services in this State. The Director shall revise the plan biennially and deliver a copy of the plan to the Governor and the Legislature at the beginning of each regular session. The plan must:
(1) Identify and assess the plans and programs of the Department for the provision of human services, and any duplication of those services by federal, state and local agencies;
(2) Set forth priorities for the provision of those services;
(3) Provide for communication and the coordination of those services among nonprofit organizations, agencies of local government, the State and the Federal Government;
(4) Identify the sources of funding for services provided by the Department and the allocation of that funding;
(5) Set forth sufficient information to assist the Department in providing those services and in the planning and budgeting for the future provision of those services; and
(6) Contain any other information necessary for the Department to communicate effectively with the Federal Government concerning demographic trends, formulas for the distribution of federal money and any need for the modification of programs administered by the Department.
(e) May, by regulation, require nonprofit organizations and state and local governmental agencies to provide information regarding the programs of those organizations and agencies, excluding detailed information relating to their budgets and payrolls, which the Director deems necessary for the performance of the duties imposed upon him or her pursuant to this section.
(f) Has such other powers and duties as are provided by law.
2. Notwithstanding any other provision of law, the Director, or the Directors designee, is responsible for appointing and removing subordinate officers and employees of the Department.
κ2025 Statutes of Nevada, Page 2571 (CHAPTER 386, SB 348)κ
Sec. 3.7. Chapter 422 of NRS is hereby amended by adding thereto a new section to read as follows:
1. To the extent that federal financial participation is available, the Director shall include under Medicaid reimbursement at a rate not to exceed $150 for all examinations and tests required for the discovery in infants of preventable or inheritable disorders pursuant to NRS 442.008. Such reimbursement must be provided separately from the reimbursement provided for other labor and delivery services provided to a person or newborn care provided to an infant, as applicable.
2. The Department shall:
(a) Apply to the Secretary of Health and Human Services for any waiver of federal law or apply for any amendment of the State Plan for Medicaid that is necessary for the Department to receive federal funding to provide the reimbursement described in subsection 1.
(b) Fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements of the Federal Government for obtaining a waiver or amendment pursuant to paragraph (a).
Secs. 4-68. (Deleted by amendment.)
Sec. 68.3. 1. As soon as practicable after the effective date of this section and to the extent that money is available, the Director of the Department of Health and Human Services shall submit to the United States Secretary of Health and Human Services a request to include under Medicaid a rate of reimbursement of not more than $122 for all examinations and tests required for the discovery in infants of preventable or inheritable disorders pursuant to NRS 442.008. That rate of reimbursement must not become effective before July 1, 2025. Notwithstanding the provisions of section 3.7 of this act, any additional increase to that rate of reimbursement must not become effective until January 1, 2026.
2. The request submitted pursuant to subsection 1 must be supported using methods for determining reimbursement rates accepted by the Secretary.
Sec. 68.7. Notwithstanding the amendatory provisions of section 3 of this act, the State Public Health Laboratory may not, before January 1, 2026, charge a fee in excess of $122 for all examinations and tests required for the discovery in infants of preventable or inheritable disorders pursuant to NRS 442.008.
Sec. 69. The provisions of NRS 354.599 do not apply to any additional expenses of a local government that are related to the provisions of this act.
Sec. 70. 1. This section and section 68.3 of this act become effective upon passage and approval.
2. Sections 1, 3, 3.4, 3.7, 64, 65, 66, 68.7 and 69 of this act become effective on July 1, 2025.
3. Sections 2, 4 to 63, inclusive, 67 and 68 of this act become effective:
(a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act; and
(b) On January 1, 2026, for all other purposes.
________
κ2025 Statutes of Nevada, Page 2572κ
Senate Bill No. 257Senators Dondero Loop, Cruz-Crawford, Krasner, Ohrenschall; Cannizzaro, Flores, Nguyen, Pazina and Rogich
Joint Sponsor: Assemblymember Torres-Fossett
CHAPTER 387
[Approved: June 6, 2025]
AN ACT relating to autism; revising requirements governing the statewide standard for measuring outcomes and assessing and evaluating certain persons with autism spectrum disorders; revising requirements governing early intervention services for persons with autism spectrum disorders; requiring an insurer to accept as dispositive certain diagnoses of persons with autism spectrum disorders for purposes related to required coverage for the diagnosis and treatment of such disorders; requiring insurers to cover such diagnosis and treatment provided by any provider of health care acting within his or her scope of practice; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law requires the Aging and Disability Services Division of the Department of Health and Human Services to prescribe by regulation a statewide standard for measuring outcomes and assessing and evaluating persons with autism spectrum disorders through the age of 21 years who receive services through the State or a local government or an agency thereof. Existing law requires those regulations to designate a protocol based upon accepted best practices guidelines which includes at least one standardized assessment instrument that requires direct observation by the professional conducting the assessment for determining whether a person is a person with autism spectrum disorder. Existing law requires such direct observation to include an evaluation to measure behaviors of the person which are consistent with autism spectrum disorder, cognitive functioning, language functioning and adaptive functioning. (NRS 427A.872) Section 3 of this bill removes the requirements that the statewide standard include a specific protocol, a standardized assessment instrument and an evaluation to measure behaviors which are consistent with autism spectrum disorder. Instead, section 3 requires the statewide standard to require direct observation and an assessment to determine whether a person is a person with autism spectrum disorder. Section 3 authorizes any provider of health care acting within his or her scope of practice to conduct such direct observation and assessment. Section 4 of this bill makes similar revisions relating to early intervention services provided by the Division for children with autism spectrum disorders. Specifically, section 4: (1) replaces references to an evaluation of a child who may have autism spectrum disorder by the Division with references to an assessment of such a child; and (2) authorizes any provider of health care acting within his or her scope of practice to conduct such an assessment. Section 1 of this bill defines the term provider of health care for those purposes, and section 2 of this bill prescribes the applicability of that definition.
Existing law requires the Division to ensure that employees and contractors of the Division who provide early intervention services to children with autism spectrum disorders possess the knowledge and skills necessary to serve children with autism spectrum disorders, including the screening of a child for autism spectrum disorder at certain age levels and frequency. (NRS 427A.878) Section 4 specifies that such persons must possess the knowledge and skills necessary to conduct early and periodic developmental screening of a child for that purpose.
κ2025 Statutes of Nevada, Page 2573 (CHAPTER 387, SB 257)κ
Existing law requires certain plans of health insurance, including insurance for public employees and Medicaid managed care plans, to cover screening for and diagnosis of autism spectrum disorders and for treatment of autism spectrum disorders to persons under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years. In order for coverage of such treatment to be required, existing law requires: (1) the diagnosis to be rendered by a licensed physician or psychologist; (2) the treatment to be included in a treatment plan developed by a licensed physician or psychologist; and (3) the treatment to be provided by or under the supervision of a licensed physician, psychologist or behavior analyst. (NRS 287.0276, 287.04335, 689A.0435, 689B.0335, 689C.1655, 695C.050, 695C.1717, 695G.1645) Sections 5-10 of this bill remove requirements that, in order for such coverage to be required, the diagnosis must be rendered by specific providers of health care and the treatment plan must be developed and carried out by specific providers of health care. Instead, sections 5-10 require certain plans of health insurance to cover such diagnosis and treatment if the diagnosis, development of a treatment plan and treatment are performed by any provider of health care acting within his or her scope of practice. Sections 5-10 also require an insurer to accept as dispositive for the purposes of such coverage any diagnosis of an autism spectrum disorder that is rendered in accordance with the statewide standard prescribed pursuant to section 3.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. Chapter 427A of NRS is hereby amended by adding thereto a new section to read as follows:
Provider of health care has the meaning ascribed to it in NRS 629.031.
Sec. 2. NRS 427A.871 is hereby amended to read as follows:
427A.871 As used in NRS 427A.871 to 427A.8803, inclusive, and section 1 of this act, unless the context otherwise requires, the words and terms defined in NRS 427A.8713 and 427A.8715 and section 1 of this act have the meanings ascribed to them in those sections.
Sec. 3. NRS 427A.872 is hereby amended to read as follows:
427A.872 1. The Division, in cooperation and guidance with the Department of Education, representatives of the school districts in this State and the Commission, shall prescribe by regulation a statewide standard for measuring outcomes and assessing [and evaluating] persons with autism spectrum disorders through the age of 21 years who receive services through the State or a local government or an agency thereof. The regulations must [designate a protocol based upon accepted] align with best practices guidelines [which includes at least one standardized assessment instrument that requires] and require direct observation by [the professional] a provider of health care conducting [the] an assessment for determining whether a person is a person with autism spectrum disorder . [, which] The statewide standard must be used by personnel employed by the State or a local government or an agency thereof who provide assessments, interventions and diagnoses of persons with autism spectrum disorders through the age of 21 years and by the persons with whom the State or a local government or an agency thereof contracts to provide assessments, interventions and diagnoses of persons with autism spectrum disorders through the age of 21 years. [The protocol must require that the direct observation conducted by a professional pursuant to this subsection include, without limitation, an evaluation to measure behaviors of the person which are consistent with autism spectrum disorder, cognitive functioning, language functioning and adaptive functioning.]
κ2025 Statutes of Nevada, Page 2574 (CHAPTER 387, SB 257)κ
pursuant to this subsection include, without limitation, an evaluation to measure behaviors of the person which are consistent with autism spectrum disorder, cognitive functioning, language functioning and adaptive functioning.]
2. The statewide standard prescribed pursuant to subsection 1 must authorize a provider of health care to directly observe a person and complete an assessment to determine whether the person is a person with autism spectrum disorder so long as conducting such observation and completing such an assessment are within the scope of practice of the provider of health care.
3. The [protocol designated] statewide standard prescribed pursuant to subsection 1 must be used upon intake of a person suspected of having autism spectrum disorder or at any later time if a person is suspected of having autism spectrum disorder after intake. The results of an assessment must be provided to the parent or legal guardian of the person, if applicable.
[3.] 4. The Division shall prescribe the form and content of reports relating to persons with autism spectrum disorders through the age of 21 years that must be reported to the Division pursuant to NRS 388.451 and 615.205. Except as otherwise provided in NRS 388.451, the Division shall ensure that the information is reported in a manner which:
(a) Allows the Division to document the services provided to and monitor the progress of each person with autism spectrum disorder through the age of 21 years who receives services from the State or an agency thereof; and
(b) Ensures that information reported for each person who receives services which identifies the person is kept confidential, consistent with the Family Educational Rights and Privacy Act of 1974, 20 U.S.C. § 1232g, and any other applicable state and federal privacy laws.
[4.] 5. The Division shall prepare annually a summary of the reports submitted pursuant to NRS 388.451 and 615.205 and make the summary publicly available. The Division shall ensure that information contained in the summary does not identify a person who received services.
Sec. 4. NRS 427A.878 is hereby amended to read as follows:
427A.878 1. The Division shall ensure that the personnel employed by the Division who provide early intervention services to children with autism spectrum disorders and the persons with whom the Division contracts to provide early intervention services to children with autism spectrum disorders possess the knowledge and skills necessary to serve children with autism spectrum disorders, including, without limitation:
(a) [The] Early and periodic developmental screening of a child for autism spectrum disorder at the age levels and frequency recommended by the American Academy of Pediatrics, or its successor organization;
(b) The procedure for [evaluating] assessing children who demonstrate behaviors that are consistent with autism spectrum disorders, which procedure must require the use of the statewide standard for measuring outcomes and assessing [and evaluating] persons with autism spectrum disorders through the age of 21 years prescribed pursuant to NRS 427A.872;
(c) The procedure for enrolling a child in early intervention services upon determining that the child has autism spectrum disorder;
κ2025 Statutes of Nevada, Page 2575 (CHAPTER 387, SB 257)κ
(d) Methods of providing support to children with autism spectrum disorders and their families; and
(e) The procedure for developing an individualized family service plan in accordance with Part C of the Individuals with Disabilities Education Act, 20 U.S.C. §§ 1431 et seq., or other appropriate plan for the child.
2. The Division shall ensure that the personnel employed by the Division to provide early intervention services to children with autism spectrum disorders and the persons with whom the Division contracts to provide early intervention services to children with autism spectrum disorders:
(a) Possess the knowledge and understanding of the scientific research and support for the methods and approaches for serving children with autism spectrum disorders and the ability to recognize the difference between an approach or method that is scientifically validated and one that is not;
(b) Possess the knowledge to accurately describe to parents and guardians the research supporting the methods and approaches, including, without limitation, the knowledge necessary to provide an explanation that a method or approach is experimental if it is not supported by scientific evidence;
(c) Immediately notify a parent or legal guardian if a child is identified as being at risk for a diagnosis of autism spectrum disorder and refer the parent or legal guardian to the appropriate professionals for further evaluation and simultaneously refer the parent or legal guardian to any appropriate early intervention services and strategies; and
(d) Provide the parent or legal guardian with information on evidence-based treatments and interventions that may assist the child in the childs development and advancement.
3. The Division shall ensure that the personnel employed by the Division who provide early intervention screenings to children and the persons with whom the Division contracts to provide early intervention screenings to children perform screenings of children for autism spectrum disorders at the age levels and frequency recommended by the American Academy of Pediatrics, or its successor organization.
4. The Division shall ensure that:
(a) For a child who may have autism spectrum disorder, the personnel employed by the Division who provide early intervention screenings to children and the persons with whom the Division contracts to provide early intervention screenings to children use the [protocol designated] statewide standard prescribed pursuant to NRS 427A.872 for determining whether a child has autism spectrum disorder.
(b) An initial [evaluation] assessment of the cognitive, communicative, social, emotional and behavioral condition and adaptive skill level of a child with autism spectrum disorder is conducted by a provider of health care acting within his or her scope of practice to determine the baseline of the child.
(c) A subsequent [evaluation] assessment is conducted by a provider of health care acting within his or her scope of practice upon the childs conclusion of the early intervention services to determine the progress made by the child from the time of his or her initial screening.
κ2025 Statutes of Nevada, Page 2576 (CHAPTER 387, SB 257)κ
Sec. 5. NRS 287.0276 is hereby amended to read as follows:
287.0276 1. The governing body of any county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency of the State of Nevada that provides health insurance through a plan of self-insurance must provide coverage for screening for and diagnosis of autism spectrum disorders and for treatment of autism spectrum disorders to persons covered by the plan of self-insurance under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years. For the purposes of such coverage, the governing body of a county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency shall accept as dispositive any diagnosis of an autism spectrum disorder that is rendered in accordance with the statewide standard for measuring outcomes and assessing persons with autism spectrum disorders through the age of 21 years prescribed pursuant to NRS 427A.872.
2. Coverage provided under this section is subject to:
(a) A maximum benefit of the actuarial equivalent of $72,000 per year for applied behavior analysis treatment; and
(b) Copayment, deductible and coinsurance provisions and any other general exclusion or limitation of a plan of self-insurance to the same extent as other medical services or prescription drugs covered by the policy.
3. A governing body of any county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency of the State of Nevada that provides health insurance through a plan of self-insurance which provides coverage for outpatient care shall not:
(a) Require an insured to pay a higher deductible, copayment or coinsurance or require a longer waiting period for coverage for outpatient care related to autism spectrum disorders than is required for other outpatient care covered by the plan of self-insurance; or
(b) Refuse to issue a plan of self-insurance or cancel a plan of self-insurance solely because the person applying for or covered by the plan of self-insurance uses or may use in the future any of the services listed in subsection 1.
4. Except as otherwise provided in subsections 1 and 2, a governing body of any county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency of the State of Nevada that provides health insurance through a plan of self-insurance shall not limit the number of visits an insured may make to any person, entity or group for treatment of autism spectrum disorders.
5. Treatment of autism spectrum disorders must be identified in a treatment plan and may include medically necessary habilitative or rehabilitative care, prescription care, psychiatric care, psychological care, behavioral therapy or therapeutic care that is:
(a) Prescribed for a person diagnosed with an autism spectrum disorder by a [licensed physician or licensed psychologist;] provider of health care acting within his or her scope of practice; and
κ2025 Statutes of Nevada, Page 2577 (CHAPTER 387, SB 257)κ
(b) Provided for a person diagnosed with an autism spectrum disorder by a [licensed physician, licensed psychologist, licensed behavior analyst or other provider that is supervised by the licensed physician, psychologist or behavior analyst.] provider of health care acting within his or her scope of practice.
Κ A governing body of any county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency of the State of Nevada that provides health insurance through a plan of self-insurance may request a copy of and review a treatment plan created pursuant to this subsection.
6. A plan of self-insurance subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after [July] January 1, [2011,] 2026, has the legal effect of including the coverage required by subsection 1, and any provision of the plan of self-insurance or the renewal which is in conflict with subsection 1 or 2 is void.
7. Nothing in this section shall be construed as requiring a governing body of any county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency of the State of Nevada that provides health insurance through a plan of self-insurance to provide reimbursement to a school for services delivered through school services.
8. As used in this section:
(a) Applied behavior analysis means the design, implementation and evaluation of environmental modifications using behavioral stimuli and consequences to produce socially significant improvement in human behavior, including, without limitation, the use of direct observation, measurement and functional analysis of the relations between environment and behavior.
(b) Autism spectrum disorder has the meaning ascribed to it in NRS 427A.875.
(c) Behavioral therapy means any interactive therapy derived from evidence-based research, including, without limitation, discrete trial training, early intensive behavioral intervention, intensive intervention programs, pivotal response training and verbal behavior provided by a licensed psychologist, licensed behavior analyst, licensed assistant behavior analyst or registered behavior technician.
(d) Evidence-based research means research that applies rigorous, systematic and objective procedures to obtain valid knowledge relevant to autism spectrum disorders.
(e) Habilitative or rehabilitative care means counseling, guidance and professional services and treatment programs, including, without limitation, applied behavior analysis, that are necessary to develop, maintain and restore, to the maximum extent practicable, the functioning of a person.
(f) Licensed assistant behavior analyst has the meaning ascribed to the term assistant behavior analyst in NRS 641D.020.
(g) Licensed behavior analyst has the meaning ascribed to the term behavior analyst in NRS 641D.030.
(h) Prescription care means medications prescribed by a licensed physician and any health-related services deemed medically necessary to determine the need or effectiveness of the medications.
κ2025 Statutes of Nevada, Page 2578 (CHAPTER 387, SB 257)κ
(i) Provider of health care has the meaning ascribed to it in NRS 629.031.
(j) Psychiatric care means direct or consultative services provided by a psychiatrist licensed in the state in which the psychiatrist practices.
[(j)] (k) Psychological care means direct or consultative services provided by a psychologist licensed in the state in which the psychologist practices.
[(k)] (l) Registered behavior technician has the meaning ascribed to it in NRS 641D.090.
[(l)] (m) Screening for autism spectrum disorders means all medically appropriate assessments, evaluations or tests to diagnose whether a person has an autism spectrum disorder.
[(m)] (n) Therapeutic care means services provided by licensed or certified speech-language pathologists, occupational therapists and physical therapists.
[(n)] (o) Treatment plan means a plan to treat an autism spectrum disorder that is [prescribed] developed by a [licensed physician or licensed psychologist and may be developed pursuant to a comprehensive evaluation in coordination with a licensed behavior analyst.] provider of health care acting within his or her scope of practice after he or she has assessed the person for whom the treatment plan is developed.
Sec. 6. NRS 689A.0435 is hereby amended to read as follows:
689A.0435 1. A health benefit plan must provide an option of coverage for screening for and diagnosis of autism spectrum disorders and for treatment of autism spectrum disorders for persons covered by the policy under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years. For the purposes of such coverage, an insurer shall accept as dispositive any diagnosis of an autism spectrum disorder that is rendered in accordance with the statewide standard for measuring outcomes and assessing persons with autism spectrum disorders through the age of 21 years prescribed pursuant to NRS 427A.872.
2. Optional coverage provided pursuant to this section must be subject to:
(a) A maximum benefit of not less than the actuarial equivalent of $72,000 per year for applied behavior analysis treatment; and
(b) Copayment, deductible and coinsurance provisions and any other general exclusions or limitations of a policy of health insurance to the same extent as other medical services or prescription drugs covered by the policy.
3. A health benefit plan that offers or issues a policy of health insurance which provides coverage for outpatient care shall not:
(a) Require an insured to pay a higher deductible, copayment or coinsurance or require a longer waiting period for optional coverage for outpatient care related to autism spectrum disorders than is required for other outpatient care covered by the policy; or
(b) Refuse to issue a policy of health insurance or cancel a policy of health insurance solely because the person applying for or covered by the policy uses or may use in the future any of the services listed in subsection 1.
4. Except as otherwise provided in subsections 1 and 2, an insurer who offers optional coverage pursuant to subsection 1 shall not limit the number of visits an insured may make to any person, entity or group for treatment of autism spectrum disorders.
κ2025 Statutes of Nevada, Page 2579 (CHAPTER 387, SB 257)κ
5. Treatment of autism spectrum disorders must be identified in a treatment plan and may include medically necessary habilitative or rehabilitative care, prescription care, psychiatric care, psychological care, behavioral therapy or therapeutic care that is:
(a) Prescribed for a person diagnosed with an autism spectrum disorder by a [licensed physician or licensed psychologist;] provider of health care acting within his or her scope of practice; and
(b) Provided for a person diagnosed with an autism spectrum disorder by a [licensed physician, licensed psychologist, licensed behavior analyst or other provider that is supervised by the licensed physician, psychologist or behavior analyst.] provider of health care acting within his or her scope of practice.
Κ An insurer may request a copy of and review a treatment plan created pursuant to this subsection.
6. Nothing in this section shall be construed as requiring an insurer to provide reimbursement to a school for services delivered through school services.
7. As used in this section:
(a) Applied behavior analysis means the design, implementation and evaluation of environmental modifications using behavioral stimuli and consequences to produce socially significant improvement in human behavior, including, without limitation, the use of direct observation, measurement and functional analysis of the relations between environment and behavior.
(b) Autism spectrum disorder has the meaning ascribed to it in NRS 427A.875.
(c) Behavioral therapy means any interactive therapy derived from evidence-based research, including, without limitation, discrete trial training, early intensive behavioral intervention, intensive intervention programs, pivotal response training and verbal behavior provided by a licensed psychologist, licensed behavior analyst, licensed assistant behavior analyst or registered behavior technician.
(d) Evidence-based research means research that applies rigorous, systematic and objective procedures to obtain valid knowledge relevant to autism spectrum disorders.
(e) Habilitative or rehabilitative care means counseling, guidance and professional services and treatment programs, including, without limitation, applied behavior analysis, that are necessary to develop, maintain and restore, to the maximum extent practicable, the functioning of a person.
(f) Licensed assistant behavior analyst has the meaning ascribed to the term assistant behavior analyst in NRS 641D.020.
(g) Licensed behavior analyst has the meaning ascribed to the term behavior analyst in NRS 641D.030.
(h) Prescription care means medications prescribed by a licensed physician and any health-related services deemed medically necessary to determine the need or effectiveness of the medications.
(i) Provider of health care has the meaning ascribed to it in NRS 629.031.
(j) Psychiatric care means direct or consultative services provided by a psychiatrist licensed in the state in which the psychiatrist practices.
κ2025 Statutes of Nevada, Page 2580 (CHAPTER 387, SB 257)κ
[(j)] (k) Psychological care means direct or consultative services provided by a psychologist licensed in the state in which the psychologist practices.
[(k)] (l) Registered behavior technician has the meaning ascribed to it in NRS 641D.100.
[(l)] (m) Screening for autism spectrum disorders means medically necessary assessments, evaluations or tests to screen and diagnose whether a person has an autism spectrum disorder.
[(m)] (n) Therapeutic care means services provided by licensed or certified speech-language pathologists, occupational therapists and physical therapists.
[(n)] (o) Treatment plan means a plan to treat an autism spectrum disorder that is [prescribed] developed by a [licensed physician or licensed psychologist and may be developed pursuant to a comprehensive evaluation in coordination with a licensed behavior analyst.] provider of health care acting within his or her scope of practice after he or she has assessed the person for whom the treatment plan is developed.
Sec. 7. NRS 689B.0335 is hereby amended to read as follows:
689B.0335 1. A health benefit plan must provide coverage for screening for and diagnosis of autism spectrum disorders and for treatment of autism spectrum disorders to persons covered by the policy of group health insurance under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years. For the purposes of such coverage, an insurer shall accept as dispositive any diagnosis of an autism spectrum disorder that is rendered in accordance with the statewide standard for measuring outcomes and assessing persons with autism spectrum disorders through the age of 21 years prescribed pursuant to NRS 427A.872.
2. Coverage provided under this section is subject to:
(a) A maximum benefit of the actuarial equivalent of $72,000 per year for applied behavior analysis treatment; and
(b) Copayment, deductible and coinsurance provisions and any other general exclusion or limitation of a policy of group health insurance to the same extent as other medical services or prescription drugs covered by the policy.
3. A health benefit plan that offers or issues a policy of group health insurance which provides coverage for outpatient care shall not:
(a) Require an insured to pay a higher deductible, copayment or coinsurance or require a longer waiting period for coverage for outpatient care related to autism spectrum disorders than is required for other outpatient care covered by the policy; or
(b) Refuse to issue a policy of group health insurance or cancel a policy of group health insurance solely because the person applying for or covered by the policy uses or may use in the future any of the services listed in subsection 1.
4. Except as otherwise provided in subsections 1 and 2, an insurer shall not limit the number of visits an insured may make to any person, entity or group for treatment of autism spectrum disorders.
5. Treatment of autism spectrum disorders must be identified in a treatment plan and may include medically necessary habilitative or rehabilitative care, prescription care, psychiatric care, psychological care, behavioral therapy or therapeutic care that is:
κ2025 Statutes of Nevada, Page 2581 (CHAPTER 387, SB 257)κ
(a) Prescribed for a person diagnosed with an autism spectrum disorder by a [licensed physician or licensed psychologist;] provider of health care acting within his or her scope of practice; and
(b) Provided for a person diagnosed with an autism spectrum disorder by a [licensed physician, licensed psychologist, licensed behavior analyst or other provider that is supervised by the licensed physician, psychologist or behavior analyst.] provider of health care acting within his or her scope of practice.
Κ An insurer may request a copy of and review a treatment plan created pursuant to this subsection.
6. A policy subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, [2011,] 2026, has the legal effect of including the coverage required by subsection 1, and any provision of the policy or the renewal which is in conflict with subsection 1 or 2 is void.
7. Nothing in this section shall be construed as requiring an insurer to provide reimbursement to a school for services delivered through school services.
8. As used in this section:
(a) Applied behavior analysis means the design, implementation and evaluation of environmental modifications using behavioral stimuli and consequences to produce socially significant improvement in human behavior, including, without limitation, the use of direct observation, measurement and functional analysis of the relations between environment and behavior.
(b) Autism spectrum disorder has the meaning ascribed to it in NRS 427A.875.
(c) Behavioral therapy means any interactive therapy derived from evidence-based research, including, without limitation, discrete trial training, early intensive behavioral intervention, intensive intervention programs, pivotal response training and verbal behavior provided by a licensed psychologist, licensed behavior analyst, licensed assistant behavior analyst or registered behavior technician.
(d) Evidence-based research means research that applies rigorous, systematic and objective procedures to obtain valid knowledge relevant to autism spectrum disorders.
(e) Habilitative or rehabilitative care means counseling, guidance and professional services and treatment programs, including, without limitation, applied behavior analysis, that are necessary to develop, maintain and restore, to the maximum extent practicable, the functioning of a person.
(f) Licensed assistant behavior analyst has the meaning ascribed to the term assistant behavior analyst in NRS 641D.020.
(g) Licensed behavior analyst has the meaning ascribed to the term behavior analyst in NRS 641D.030.
(h) Prescription care means medications prescribed by a licensed physician and any health-related services deemed medically necessary to determine the need or effectiveness of the medications.
(i) Provider of health care has the meaning ascribed to it in NRS 629.031.
(j) Psychiatric care means direct or consultative services provided by a psychiatrist licensed in the state in which the psychiatrist practices.
κ2025 Statutes of Nevada, Page 2582 (CHAPTER 387, SB 257)κ
[(j)] (k) Psychological care means direct or consultative services provided by a psychologist licensed in the state in which the psychologist practices.
[(k)] (l) Registered behavior technician has the meaning ascribed to it in NRS 641D.100.
[(l)] (m) Screening for autism spectrum disorders means medically necessary assessments, evaluations or tests to screen and diagnose whether a person has an autism spectrum disorder.
[(m)] (n) Therapeutic care means services provided by licensed or certified speech-language pathologists, occupational therapists and physical therapists.
[(n)] (o) Treatment plan means a plan to treat an autism spectrum disorder that is [prescribed] developed by a [licensed physician or licensed psychologist and may be developed pursuant to a comprehensive evaluation in coordination with a licensed behavior analyst.] provider of health care acting within his or her scope of practice after he or she has assessed the person for whom the treatment plan is developed.
Sec. 8. NRS 689C.1655 is hereby amended to read as follows:
689C.1655 1. A health benefit plan must provide coverage for screening for and diagnosis of autism spectrum disorders and for treatment of autism spectrum disorders to persons covered by the health benefit plan under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years. For the purposes of such coverage, a carrier shall accept as dispositive any diagnosis of an autism spectrum disorder that is rendered in accordance with the statewide standard for measuring outcomes and assessing persons with autism spectrum disorders through the age of 21 years prescribed pursuant to NRS 427A.872.
2. Coverage provided under this section is subject to:
(a) A maximum benefit of the actuarial equivalent of $72,000 per year for applied behavior analysis treatment; and
(b) Copayment, deductible and coinsurance provisions and any other general exclusion or limitation of a health benefit plan to the same extent as other medical services or prescription drugs covered by the plan.
3. A health benefit plan that offers or issues a policy of group health insurance which provides coverage for outpatient care shall not:
(a) Require an insured to pay a higher deductible, copayment or coinsurance or require a longer waiting period for coverage for outpatient care related to autism spectrum disorders than is required for other outpatient care covered by the plan; or
(b) Refuse to issue a health benefit plan or cancel a health benefit plan solely because the person applying for or covered by the plan uses or may use in the future any of the services listed in subsection 1.
4. Except as otherwise provided in subsections 1 and 2, a carrier shall not limit the number of visits an insured may make to any person, entity or group for treatment of autism spectrum disorders.
5. Treatment of autism spectrum disorders must be identified in a treatment plan and may include medically necessary habilitative or rehabilitative care, prescription care, psychiatric care, psychological care, behavioral therapy or therapeutic care that is:
κ2025 Statutes of Nevada, Page 2583 (CHAPTER 387, SB 257)κ
(a) Prescribed for a person diagnosed with an autism spectrum disorder by a [licensed physician or licensed psychologist;] provider of health care acting within his or her scope of practice; and
(b) Provided for a person diagnosed with an autism spectrum disorder by a [licensed physician, licensed psychologist, licensed behavior analyst or other provider that is supervised by the licensed physician, psychologist or behavior analyst.] provider of health care acting within his or her scope of practice.
Κ A carrier may request a copy of and review a treatment plan created pursuant to this subsection.
6. A health benefit plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, [2011,] 2026, has the legal effect of including the coverage required by subsection 1, and any provision of the plan or the renewal which is in conflict with subsection 1 or 2 is void.
7. Nothing in this section shall be construed as requiring a carrier to provide reimbursement to a school for services delivered through school services.
8. As used in this section:
(a) Applied behavior analysis means the design, implementation and evaluation of environmental modifications using behavioral stimuli and consequences to produce socially significant improvement in human behavior, including, without limitation, the use of direct observation, measurement and functional analysis of the relations between environment and behavior.
(b) Autism spectrum disorder has the meaning ascribed to it in NRS 427A.875.
(c) Behavioral therapy means any interactive therapy derived from evidence-based research, including, without limitation, discrete trial training, early intensive behavioral intervention, intensive intervention programs, pivotal response training and verbal behavior provided by a licensed psychologist, licensed behavior analyst, licensed assistant behavior analyst or registered behavior technician.
(d) Evidence-based research means research that applies rigorous, systematic and objective procedures to obtain valid knowledge relevant to autism spectrum disorders.
(e) Habilitative or rehabilitative care means counseling, guidance and professional services and treatment programs, including, without limitation, applied behavior analysis, that are necessary to develop, maintain and restore, to the maximum extent practicable, the functioning of a person.
(f) Licensed assistant behavior analyst has the meaning ascribed to the term assistant behavior analyst in NRS 641D.020.
(g) Licensed behavior analyst has the meaning ascribed to the term behavior analyst in NRS 641D.030.
(h) Prescription care means medications prescribed by a licensed physician and any health-related services deemed medically necessary to determine the need or effectiveness of the medications.
(i) Provider of health care has the meaning ascribed to it in NRS 629.031.
(j) Psychiatric care means direct or consultative services provided by a psychiatrist licensed in the state in which the psychiatrist practices.
κ2025 Statutes of Nevada, Page 2584 (CHAPTER 387, SB 257)κ
[(j)] (k) Psychological care means direct or consultative services provided by a psychologist licensed in the state in which the psychologist practices.
[(k)] (l) Registered behavior technician has the meaning ascribed to it in NRS 641D.100.
[(l)] (m) Screening for autism spectrum disorders means medically necessary assessments, evaluations or tests to screen and diagnose whether a person has an autism spectrum disorder.
[(m)] (n) Therapeutic care means services provided by licensed or certified speech-language pathologists, occupational therapists and physical therapists.
[(n)] (o) Treatment plan means a plan to treat an autism spectrum disorder that is [prescribed] developed by a [licensed physician or licensed psychologist and may be developed pursuant to a comprehensive evaluation in coordination with a licensed behavior analyst.] provider of health care acting within his or her scope of practice after he or she has assessed the person for whom the treatment plan is developed.
Sec. 9. NRS 695C.1717 is hereby amended to read as follows:
695C.1717 1. A health care plan issued by a health maintenance organization must provide coverage for screening for and diagnosis of autism spectrum disorders and for treatment of autism spectrum disorders to persons covered by the health care plan under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years. For the purposes of such coverage, a health maintenance organization shall accept as dispositive any diagnosis of an autism spectrum disorder that is rendered in accordance with the statewide standard for measuring outcomes and assessing persons with autism spectrum disorders through the age of 21 years prescribed pursuant to NRS 427A.872.
2. Coverage provided under this section is subject to:
(a) A maximum benefit of the actuarial equivalent of $72,000 per year for applied behavior analysis treatment; and
(b) Copayment, deductible and coinsurance provisions and any other general exclusion or limitation of a health care plan to the same extent as other medical services or prescription drugs covered by the plan.
3. A health care plan issued by a health maintenance organization that provides coverage for outpatient care shall not:
(a) Require an enrollee to pay a higher deductible, copayment or coinsurance or require a longer waiting period for coverage for outpatient care related to autism spectrum disorders than is required for other outpatient care covered by the plan; or
(b) Refuse to issue a health care plan or cancel a health care plan solely because the person applying for or covered by the plan uses or may use in the future any of the services listed in subsection 1.
4. Except as otherwise provided in subsections 1 and 2, a health maintenance organization shall not limit the number of visits an enrollee may make to any person, entity or group for treatment of autism spectrum disorders.
5. Treatment of autism spectrum disorders must be identified in a treatment plan and may include medically necessary habilitative or rehabilitative care, prescription care, psychiatric care, psychological care, behavioral therapy or therapeutic care that is:
κ2025 Statutes of Nevada, Page 2585 (CHAPTER 387, SB 257)κ
(a) Prescribed for a person diagnosed with an autism spectrum disorder by a [licensed physician or licensed psychologist;] provider of health care acting within his or her scope of practice; and
(b) Provided for a person diagnosed with an autism spectrum disorder by a [licensed physician, licensed psychologist, licensed behavior analyst or other provider that is supervised by the licensed physician, psychologist or behavior analyst.] provider of health care acting within his or her scope of practice.
Κ A health maintenance organization may request a copy of and review a treatment plan created pursuant to this subsection.
6. Evidence of coverage subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, [2011,] 2026, has the legal effect of including the coverage required by subsection 1, and any provision of the evidence of coverage or the renewal which is in conflict with subsection 1 or 2 is void.
7. Nothing in this section shall be construed as requiring a health maintenance organization to provide reimbursement to a school for services delivered through school services.
8. As used in this section:
(a) Applied behavior analysis means the design, implementation and evaluation of environmental modifications using behavioral stimuli and consequences to produce socially significant improvement in human behavior, including, without limitation, the use of direct observation, measurement and functional analysis of the relations between environment and behavior.
(b) Autism spectrum disorder has the meaning ascribed to it in NRS 427A.875.
(c) Behavioral therapy means any interactive therapy derived from evidence-based research, including, without limitation, discrete trial training, early intensive behavioral intervention, intensive intervention programs, pivotal response training and verbal behavior provided by a licensed psychologist, licensed behavior analyst, licensed assistant behavior analyst or registered behavior technician.
(d) Evidence-based research means research that applies rigorous, systematic and objective procedures to obtain valid knowledge relevant to autism spectrum disorders.
(e) Habilitative or rehabilitative care means counseling, guidance and professional services and treatment programs, including, without limitation, applied behavior analysis, that are necessary to develop, maintain and restore, to the maximum extent practicable, the functioning of a person.
(f) Licensed assistant behavior analyst has the meaning ascribed to the term assistant behavior analyst in NRS 641D.020.
(g) Licensed behavior analyst has the meaning ascribed to the term behavior analyst in NRS 641D.030.
(h) Prescription care means medications prescribed by a licensed physician and any health-related services deemed medically necessary to determine the need or effectiveness of the medications.
(i) Provider of health care has the meaning ascribed to it in NRS 629.031.
(j) Psychiatric care means direct or consultative services provided by a psychiatrist licensed in the state in which the psychiatrist practices.
κ2025 Statutes of Nevada, Page 2586 (CHAPTER 387, SB 257)κ
[(j)] (k) Psychological care means direct or consultative services provided by a psychologist licensed in the state in which the psychologist practices.
[(k)] (l) Registered behavior technician has the meaning ascribed to it in NRS 641D.100.
[(l)] (m) Screening for autism spectrum disorders means medically necessary assessments, evaluations or tests to screen and diagnose whether a person has an autism spectrum disorder.
[(m)] (n) Therapeutic care means services provided by licensed or certified speech-language pathologists, occupational therapists and physical therapists.
[(n)] (o) Treatment plan means a plan to treat an autism spectrum disorder that is [prescribed] developed by a [licensed physician or licensed psychologist and may be developed pursuant to a comprehensive evaluation in coordination with a licensed behavior analyst.] provider of health care acting within his or her scope of practice after he or she has assessed the person for whom the treatment plan is developed.
Sec. 10. NRS 695G.1645 is hereby amended to read as follows:
695G.1645 1. A health care plan issued by a managed care organization for group coverage must provide coverage for screening for and diagnosis of autism spectrum disorders and for treatment of autism spectrum disorders to persons covered by the health care plan under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years. For the purposes of such coverage, a managed care organization shall accept as dispositive any diagnosis of an autism spectrum disorder that is rendered in accordance with the statewide standard for measuring outcomes and assessing persons with autism spectrum disorders through the age of 21 years prescribed pursuant to NRS 427A.872.
2. A health care plan issued by a managed care organization for individual coverage must provide an option for coverage for screening for and diagnosis of autism spectrum disorders and for treatment of autism spectrum disorders to persons covered by the health care plan under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years. For the purposes of that coverage, the managed care organization shall accept as dispositive any diagnosis of an autism spectrum disorder that is rendered in accordance with the statewide standard for measuring outcomes and assessing persons with autism spectrum disorders through the age of 21 years prescribed pursuant to NRS 427A.872.
3. Coverage provided under this section is subject to:
(a) A maximum benefit of the actuarial equivalent of $72,000 per year for applied behavior analysis treatment; and
(b) Copayment, deductible and coinsurance provisions and any other general exclusion or limitation of a health care plan to the same extent as other medical services or prescription drugs covered by the plan.
4. A managed care organization that offers or issues a health care plan which provides coverage for outpatient care shall not:
(a) Require an insured to pay a higher deductible, copayment or coinsurance or require a longer waiting period for coverage for outpatient care related to autism spectrum disorders than is required for other outpatient care covered by the plan; or
κ2025 Statutes of Nevada, Page 2587 (CHAPTER 387, SB 257)κ
(b) Refuse to issue a health care plan or cancel a health care plan solely because the person applying for or covered by the plan uses or may use in the future any of the services listed in subsection 1.
5. Except as otherwise provided in subsections 1, 2 and 3, a managed care organization shall not limit the number of visits an insured may make to any person, entity or group for treatment of autism spectrum disorders.
6. Treatment of autism spectrum disorders must be identified in a treatment plan and may include medically necessary habilitative or rehabilitative care, prescription care, psychiatric care, psychological care, behavioral therapy or therapeutic care that is:
(a) Prescribed for a person diagnosed with an autism spectrum disorder by a [licensed physician or licensed psychologist;] provider of health care acting within his or her scope of practice; and
(b) Provided for a person diagnosed with an autism spectrum disorder by [a licensed physician, licensed psychologist, licensed behavior analyst or other provider that is supervised by the licensed physician, psychologist or behavior analyst.] provider of health care acting within his or her scope of practice.
Κ A managed care organization may request a copy of and review a treatment plan created pursuant to this subsection.
7. An evidence of coverage subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, [2011,] 2026, has the legal effect of including the coverage required by subsection 1, and any provision of the evidence of coverage or the renewal which is in conflict with subsection 1 or 3 is void.
8. Nothing in this section shall be construed as requiring a managed care organization to provide reimbursement to a school for services delivered through school services.
9. As used in this section:
(a) Applied behavior analysis means the design, implementation and evaluation of environmental modifications using behavioral stimuli and consequences to produce socially significant improvement in human behavior, including, without limitation, the use of direct observation, measurement and functional analysis of the relations between environment and behavior.
(b) Autism spectrum disorder has the meaning ascribed to it in NRS 427A.875.
(c) Behavioral therapy means any interactive therapy derived from evidence-based research, including, without limitation, discrete trial training, early intensive behavioral intervention, intensive intervention programs, pivotal response training and verbal behavior provided by a licensed psychologist, licensed behavior analyst, licensed assistant behavior analyst or registered behavior technician.
(d) Evidence-based research means research that applies rigorous, systematic and objective procedures to obtain valid knowledge relevant to autism spectrum disorders.
(e) Habilitative or rehabilitative care means counseling, guidance and professional services and treatment programs, including, without limitation, applied behavior analysis, that are necessary to develop, maintain and restore, to the maximum extent practicable, the functioning of a person.
κ2025 Statutes of Nevada, Page 2588 (CHAPTER 387, SB 257)κ
(f) Licensed assistant behavior analyst has the meaning ascribed to the term assistant behavior analyst in NRS 641D.020.
(g) Licensed behavior analyst has the meaning ascribed to the term behavior analyst in NRS 641D.030.
(h) Prescription care means medications prescribed by a licensed physician and any health-related services deemed medically necessary to determine the need or effectiveness of the medications.
(i) Provider of health care has the meaning ascribed to it in NRS 629.031.
(j) Psychiatric care means direct or consultative services provided by a psychiatrist licensed in the state in which the psychiatrist practices.
[(j)] (k) Psychological care means direct or consultative services provided by a psychologist licensed in the state in which the psychologist practices.
[(k)] (l) Registered behavior technician has the meaning ascribed to it in NRS 641D.100.
[(l)] (m) Screening for autism spectrum disorders means medically necessary assessments, evaluations or tests to screen and diagnose whether a person has an autism spectrum disorder.
[(m)] (n) Therapeutic care means services provided by licensed or certified speech-language pathologists, occupational therapists and physical therapists.
[(n)] (o) Treatment plan means a plan to treat an autism spectrum disorder that is [prescribed] developed by a [licensed physician or licensed psychologist and may be developed pursuant to a comprehensive evaluation in coordination with a licensed behavior analyst.] provider of health care acting within his or her scope of practice after he or she has assessed the person for whom the treatment plan is developed.
Sec. 11. The provisions of NRS 354.599 do not apply to any additional expenses of a local government that are related to the provisions of this act.
Sec. 12. 1. This section becomes effective upon passage and approval.
2. Sections 1 to 11, inclusive, of this act become effective:
(a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act; and
(b) On January 1, 2026, for all other purposes.
________
κ2025 Statutes of Nevada, Page 2589κ
Senate Bill No. 353Senators Dondero Loop, Flores, Nguyen; Doρate, Ohrenschall and Pazina
CHAPTER 388
[Approved: June 6, 2025]
AN ACT relating to Medicaid; requiring the establishment of a specific billing category and rates of reimbursement for certain clinics that provide mental health care to persons enrolled in Medicaid; requiring certain transfers of money and authorizing expenditures for such purposes; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law requires the Department of Health and Human Services to administer the Medicaid program. (NRS 422.270) Section 1 of this bill requires the Division of Health Care Financing and Policy of the Department to establish: (1) a specific category of provider for the purposes of billing and reimbursement under Medicaid for certain clinics that provide education and training to students of certain mental health professions; and (2) all-inclusive per diem rates of reimbursement under Medicaid for services provided by a trainee during a visit to such a clinic, including certain circumstances where services are provided by the clinic at a location other than the clinic. Section 1.5 of this bill requires the transfer of certain money and authorizes the expenditure of certain money to carry out the requirements of section 1.
EXPLANATION Matter in bolded italics is new; matter between brackets
[omitted
material] is material to be omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. On or before October 1, 2025, the Division of Health Care Financing and Policy of the Department of Health and Human Services shall, to the extent that federal participation is available:
(a) Amend the Medicaid Services Manual to create a specific billing category for clinics operated by an accredited university within this State or pursuant to a faculty practice plan to which such a university is a party under the direction of a physician licensed pursuant to chapter 630 or 633 of NRS that:
(1) Provide mental or behavioral health care to persons enrolled in Medicaid; and
(2) Provide education and training to trainees completing a degree, supervised clinical hours or other requirements necessary for the issuance of a registration, certificate or license, as applicable, as a mental or behavioral health professional;
(b) Establish an all-inclusive per diem rate of reimbursement under Medicaid for services provided by a trainee, other than a trainee seeking a license to practice medicine as a psychiatrist or a license to practice as an advanced practice registered nurse who provides psychiatric services, at a clinic described in paragraph (a); and
κ2025 Statutes of Nevada, Page 2590 (CHAPTER 388, SB 353)κ
(c) Establish an all-inclusive per diem rate of reimbursement under Medicaid for services provided by a trainee seeking a license to practice medicine as a psychiatrist or a license to practice as an advanced practice registered nurse who provides psychiatric services, at a clinic described in paragraph (a).
2. The per diem rates of reimbursement provided pursuant to paragraphs (b) and (c) of subsection 1 must be provided for services provided:
(a) At a clinic described in paragraph (a) of subsection 1;
(b) Through a mobile clinic owned or operated by a clinic described in paragraph (a) of subsection 1;
(c) Outside a clinic described in paragraph (a) of subsection 1 to recipients of Medicaid who do not reside in a permanent dwelling or do not have a fixed mailing address; or
(d) By a clinic described in paragraph (a) of subsection 1 through telehealth, as defined in NRS 629.515.
3. The Department shall:
(a) Apply to the Secretary of Health and Human Services for any waiver of federal law, apply for any amendment of the State Plan for Medicaid or request any other federal authority that is necessary to carry out the requirements of this section.
(b) Fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements of the Federal Government for obtaining a waiver, amendment or other federal authority pursuant to paragraph (a).
4. Any application submitted pursuant to paragraph (a) of subsection 3 must be supported using methods for determining reimbursement rates accepted by the Secretary.
5. As used in this section:
(a) Faculty practice plan means an agreement with an institution of higher education which provides for the continued practice of and the performance of research and education by a faculty member of the institution of higher education.
(b) Mental or behavioral health professional means a person who is:
(1) Licensed, certified or registered pursuant to chapter 641, 641A, 641B, 641C or 641D of NRS; or
(2) Licensed as a physician, physician assistant or advanced practice registered nurse who practices in psychiatry, addiction medicine or another specialty relating to behavioral health.
(c) Trainee means a person seeking licensure, certification or registration as a mental or behavioral health professional who is engaging in supervised practice required to obtain such licensure, certification or registration. The term includes, without limitation:
(1) A student enrolled in an accredited mental or behavioral health program to obtain a graduate degree who is participating in a supervised practicum or internship; and
(2) A person who has completed the academic requirements for licensure, certification or registration and is obtaining hours of supervised practice required by law or regulation for licensure, certification or registration.
κ2025 Statutes of Nevada, Page 2591 (CHAPTER 388, SB 353)κ
Sec. 1.5. 1. The Division of Health Care Financing and Policy of the Department of Health and Human Services shall transfer the following sums from the Account to Improve Health Care Quality and Access created by NRS 422.37945 to the Nevada Medicaid budget account to carry out the provisions of section 1 of this act:
For the Fiscal Year 2025-2026.................................................... $116,672
For the Fiscal Year 2026-2027.................................................... $138,481
2. Expenditure of the following sums not appropriated from the State General Fund or the State Highway Fund is hereby authorized by the Division of Health Care Financing and Policy of the Department of Health and Human Services for the same purposes as set forth in subsection 1:
For the Fiscal Year 2025-2026.................................................... $211,213
For the Fiscal Year 2026-2027.................................................... $206,127
Sec. 2. This act becomes effective upon passage and approval.
________
Senate Bill No. 380Senators Ohrenschall; and Dondero Loop
CHAPTER 389
[Approved: June 6, 2025]
AN ACT relating to autism; requiring peace officers to complete certain training concerning developmental disabilities; authorizing certain training concerning autism spectrum disorders to be included as part of the training of peace officers in interacting with persons with developmental disabilities; requiring the Legislative Auditor to conduct an audit of the Board of Applied Behavior Analysis; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law requires a peace officer, as a condition of certification, to complete training concerning identifying and interacting with persons with developmental disabilities, including, without limitation, autism. (NRS 289.605) Section 3 of this bill authorizes such training to include instruction in certain specific topics relating to autism spectrum disorders. Section 2 of this bill requires continuing education for peace officers to include training in interactions with persons with developmental disabilities, which may include training on recognizing and responding to persons with an autism spectrum disorder. Section 1 of this bill defines the term autism spectrum disorder for the purposes of sections 2 and 3.
Existing law provides for the registration of registered behavior technicians who provide applied behavior analysis services under the supervision of a licensed behavior analyst or assistant behavior analyst to persons with autism spectrum disorder in this State. (NRS 641D.300, 641D.310, 641D.600, 641D.610)
Section 4.5 of this bill requires the Legislative Auditor to conduct an audit of the process of the Board of Applied Behavior Analysis for licensure of behavior analysts and assistant behavior analysts and registration of registered behavior technicians, including, without limitation, the effectiveness, efficiency and timeliness of the Board in processing applications. Section 4.5 requires the Legislative Auditor to present a final written report of the audit to the Audit Subcommittee of the Legislative Commission.
κ2025 Statutes of Nevada, Page 2592 (CHAPTER 389, SB 380)κ
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. NRS 289.010 is hereby amended to read as follows:
289.010 As used in this chapter, unless the context otherwise requires:
1. Administrative file means any file of a peace officer containing information, comments or documents about the peace officer. The term does not include any file relating to an investigation conducted pursuant to NRS 289.057 or a criminal investigation of a peace officer.
2. Adult use of cannabis has the meaning ascribed to it in NRS 678A.075.
3. Autism spectrum disorder means a condition that meets the diagnostic criteria for autism spectrum disorder published in the current edition of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association or the edition thereof that was in effect at the time the condition was diagnosed or determined.
4. Law enforcement agency means any agency, office, bureau, department, unit or division created by any statute, ordinance or rule which:
(a) Has a duty to enforce the law; and
(b) Employs any person upon whom some or all of the powers of a peace officer are conferred pursuant to NRS 289.150 to 289.360, inclusive.
[4.] 5. Medical use of cannabis has the meaning ascribed to it in NRS 678A.215.
[5.] 6. Peace officer means any person upon whom some or all of the powers of a peace officer are conferred pursuant to NRS 289.150 to 289.360, inclusive.
[6.] 7. Punitive action means any action which may lead to dismissal, demotion, suspension, reduction in salary, written reprimand or transfer of a peace officer for purposes of punishment.
[7.] 8. Screening test means a test of a persons blood, urine, hair or saliva to detect the general presence of a controlled substance or other drug.
Sec. 2. NRS 289.510 is hereby amended to read as follows:
289.510 1. The Commission:
(a) Shall meet at the call of the Chair, who must be elected by a majority vote of the members of the Commission.
(b) Shall provide for and encourage the training and education of persons whose primary duty is law enforcement to ensure the safety of the residents of and visitors to this State.
(c) May make necessary inquiries to determine whether the agencies of this State and of the local governments are complying with standards set forth in the regulations adopted pursuant to subsection 2.
(d) Shall carry out the duties required of the Commission pursuant to NRS 432B.610 and 432B.620.
(e) May perform any other acts that may be necessary and appropriate to the functions of the Commission as set forth in NRS 289.450 to 289.680, inclusive.
(f) May enter into an interlocal agreement with an Indian tribe to provide training to and certification of persons employed as police officers by that Indian tribe.
κ2025 Statutes of Nevada, Page 2593 (CHAPTER 389, SB 380)κ
(g) Shall develop and approve a standard curriculum of certified training programs in crisis intervention, which may be made available in an electronic format, and which address specialized responses to persons with mental illness and train peace officers to identify the signs and symptoms of mental illness, to de-escalate situations involving persons who appear to be experiencing a behavioral health crisis and, if appropriate, to connect such persons to treatment. A peace officer who completes any program developed pursuant to this paragraph must be issued a certificate of completion.
2. The Commission shall adopt regulations establishing minimum standards for:
(a) The certification and decertification, recruitment, selection and training of peace officers. The standards adopted pursuant to this paragraph must:
(1) Establish requirements for evaluations to be conducted during the recruitment and selection of peace officers, which must identify implicit bias on the part of a peace officer on the basis of race, color, religion, national origin, physical or mental disability, sexual orientation or gender identity or expression;
(2) Establish requirements for basic training for category I, category II and category III peace officers and reserve peace officers;
(3) Establish standards for programs for the continuing education of peace officers, including minimum courses of study and requirements concerning attendance, which must require that all peace officers annually complete not less than 12 hours of continuing education in courses that address:
(I) Racial profiling;
(II) Mental health, including, without limitation, crisis intervention;
(III) The well-being of officers;
(IV) Implicit bias recognition;
(V) De-escalation;
(VI) Human trafficking; [and]
(VII) Firearms; and
(VIII) Interactions with persons with developmental disabilities which may include, without limitation, training on recognizing and responding to persons with an autism spectrum disorder;
(4) Establish qualifications for instructors of peace officers;
(5) Establish requirements for the certification of a course of training;
(6) Require all peace officers to receive training in the handling of cases involving abuse or neglect of children or missing children;
(7) Require all peace officers to receive training in the handling of cases involving abuse, neglect, exploitation, isolation and abandonment of older persons or vulnerable persons;
(8) Not prohibit the certification of an applicant solely on the basis that the applicant has engaged in the adult use of cannabis or the medical use of cannabis;
(9) Not require the decertification of a peace officer solely on the basis that the peace officer has engaged in the adult use of cannabis or the medical use of cannabis; and
κ2025 Statutes of Nevada, Page 2594 (CHAPTER 389, SB 380)κ
(10) Require the decertification of a peace officer upon a determination by the Commission that the peace officer knowingly provided false or misleading information in his or her application for certification.
(b) An annual behavioral wellness visit for peace officers to aid in preserving the emotional and mental health of the peace officer and assessing any conditions that may affect the performance of duties by the peace officer.
(c) The reciprocity of a person who has been certified as a category III peace officer or its equivalent by the certifying authority of another state or who has successfully completed a federal law enforcement training program that is equivalent to a category III peace officer in this State.
3. The regulations adopted by the Commission pursuant to subsection 2:
(a) Apply to all agencies of this State and of local governments in this State that employ persons as peace officers; and
(b) May require that training be carried on at institutions which it approves in those regulations.
4. Nothing in this section shall be construed to prohibit a law enforcement agency from adopting a policy that requires a peace officer to submit to a screening test as:
(a) A condition precedent to employment; or
(b) A condition for continued employment.
Sec. 3. NRS 289.605 is hereby amended to read as follows:
289.605 1. The Commission shall require, as a condition of the certification of each peace officer, the completion of training concerning identifying and interacting with persons with developmental disabilities. Such training may include, without limitation, training concerning:
(a) The nature and manifestation of autism spectrum disorders;
(b) Appropriate techniques for interviewing or interrogating a person with an autism spectrum disorder;
(c) Techniques for locating a person with an autism spectrum disorder who is missing and in danger, with as little stress as possible for the person with an autism spectrum disorder;
(d) Techniques for recognizing the agency of a person with an autism spectrum disorder while identifying potentially abusive or coercive situations;
(e) Techniques for deescalating a potentially dangerous situation involving a person with an autism spectrum disorder to protect the safety of the peace officer and the person with an autism spectrum disorder;
(f) Techniques for differentiating between a person with an autism spectrum disorder and a person who does not have an autism spectrum disorder but is acting belligerently, uncooperatively or otherwise similarly to a person with an autism spectrum disorder;
(g) Procedures to identify and address challenges related to the safety of persons with an autism spectrum disorder in correctional facilities; and
(h) The impact of interacting with peace officers on persons with autism spectrum disorders.
2. Training completed pursuant to this section also satisfies the requirement for such training prescribed by NRS 450B.160 or 450B.180, if applicable.
3. As used in this section, developmental disability has the meaning ascribed to it in NRS 435.007.
κ2025 Statutes of Nevada, Page 2595 (CHAPTER 389, SB 380)κ
Sec. 4. (Deleted by amendment.)
Sec. 4.5. 1. During the 2025-2027 biennium, the Legislative Auditor shall conduct an audit of the process of the Board of Applied Behavior Analysis for licensure of behavior analysts and assistant behavior analysts and registration of registered behavior technicians, including, without limitation, the effectiveness, efficiency and timeliness of the Board in processing applications submitted pursuant to NRS 641D.300.
2. On or before January 31, 2027, the Legislative Auditor shall present a final written report of the audit performed pursuant to this section to the Audit Subcommittee of the Legislative Commission.
Sec. 5. 1. This section and section 4.5 of this act become effective upon passage and approval.
2. Sections 1 to 4, inclusive, of this act become effective:
(a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act; and
(b) On October 1, 2025, for all other purposes.
________
Senate Bill No. 389Senators Scheible, Stone; and Daly
CHAPTER 390
[Approved: June 6, 2025]
AN ACT relating to prescription drugs; requiring the Department of Health and Human Services to select and contract with a state pharmacy benefit manager to manage pharmacy benefits for Medicaid and certain other health benefit plans; requiring the Department to establish certain methodologies for the payment of and rates of reimbursement for prescription drugs under Medicaid; requiring the Department to establish a benchmark to measure certain data relating to the cost of prescription drugs; prescribing certain duties of the state pharmacy benefit manager; requiring that the Department approve certain contracts entered into by the state pharmacy benefit manager; prohibiting the state pharmacy benefit manager from engaging in certain activities; requiring a Medicaid managed care organization to contract with and utilize the state pharmacy benefit manager to manage pharmacy benefits; requiring a Medicaid managed care organization to provide certain information to the Department upon request; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law authorizes the Department of Health and Human Services to enter into a contract with a pharmacy benefit manager or a health maintenance organization to manage coverage of prescription drugs under the State Plan for Medicaid, the Childrens Health Insurance Program and certain other health benefit plans that elect to use the list of preferred prescription drugs established for Medicaid as their formulary. (NRS 422.4025, 422.4053)
κ2025 Statutes of Nevada, Page 2596 (CHAPTER 390, SB 389)κ
Sections 12 and 15 of this bill instead require the Department to, not later than January 1, 2030, select and enter into a contract with one pharmacy benefit manager, known as the state pharmacy benefit manager, to manage all such coverage of prescription drugs. Sections 12 and 13 of this bill prescribe certain required terms of such a contract. Section 4 of this bill prescribes the required contents of an application to serve as the state pharmacy benefit manager. Section 5 of this bill requires the Department to adopt regulations establishing: (1) the criteria that a pharmacy benefit manager must meet in order to serve as the state pharmacy benefit manager; and (2) certain methodologies and requirements relating to the reimbursement and payment of pharmacies for services rendered under the contract between the Department and the state pharmacy benefit manager. Section 5 requires the methodology established for the reimbursement of certain pharmacies to: (1) be developed in a manner which would provide the greatest amount of savings to the State; and (2) base the rate of reimbursement for a drug on the actual cost of acquiring the drug. For that purpose, section 5 also requires the Department to, if certain conditions are met, establish a benchmark to measure the price of drugs purchased in this State directly from manufacturers and wholesalers, which is to be known as the Nevada Average Acquisition Cost. Section 5 requires the Department to biennially submit a report to the Legislature concerning the savings realized by the State from the establishment and use of the Nevada Average Acquisition Cost benchmark.
Section 8 of this bill requires each Medicaid managed care organization to contract with and utilize the state pharmacy benefit manager to administer all pharmacy benefits for recipients of Medicaid who receive such benefits through the Medicaid managed care organization. Section 8 also requires each Medicaid managed care organization to, upon request of the Department, disclose the expenditures of the Medicaid managed care organization associated with providing pharmacy benefits to recipients of Medicaid.
Section 6 of this bill requires that the Department approve any contract between the state pharmacy benefit manager and a pharmacy or an entity that contracts on behalf of a pharmacy if the contract is for the provision of benefits under the contract between the state pharmacy benefit manager and the Department, or any revision, suspension or termination of such a contract between the state pharmacy benefit manager and a pharmacy, in order for the contract, revision, suspension or termination to become effective. Section 6 also authorizes the Department to change certain payment arrangements as necessary to comply with federal requirements. Finally, section 6 prohibits the state pharmacy benefit manager from entering into, renewing or amending a contract that conflicts with the obligations of the state pharmacy benefit manager under the provisions of this bill.
Sections 2 and 3 of this bill define certain terms, and section 7 of this bill establishes the applicability of those definitions. Section 9 of this bill applies certain other definitions in existing law to sections 4-6. Sections 10, 11, 13 and 14 of this bill make conforming changes to transfer certain duties to the state pharmacy benefit manager and revise certain references in accordance with the provisions of this bill.
EXPLANATION Matter in bolded italics is new; matter between brackets
[omitted
material] is material to be omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. Chapter 422 of NRS is hereby amended by adding thereto the provisions set forth as sections 2 to 6, inclusive, of this act.
Sec. 2. Medicaid managed care organization means a health maintenance organization with which the Department enters into a contract pursuant to NRS 422.273 to provide health care services through managed care to recipients of Medicaid.
κ2025 Statutes of Nevada, Page 2597 (CHAPTER 390, SB 389)κ
Sec. 3. State pharmacy benefit manager means the pharmacy benefit manager that enters into a contract with the Department pursuant to NRS 422.4053.
Sec. 4. 1. A pharmacy benefit manager that meets the eligibility requirements established pursuant to section 5 of this act may apply to become the state pharmacy benefit manager by submitting an application to the Department on a form prescribed by the Department. The application must include, without limitation, disclosures of:
(a) Any activity, policy, practice, contract or agreement of the applicant that may directly or indirectly present a conflict of interest in the relationship between the applicant and the Department or a Medicaid managed care organization, including, without limitation, any such activity, policy, practice, contract or agreement that operates solely or partially outside this State;
(b) Any direct or indirect fees, charges or assessments that the applicant imposes on any pharmacy in this State:
(1) With which the applicant shares common ownership, management or control;
(2) Which is owned, managed or controlled by any management, parent or subsidiary of the applicant, any company jointly held by the applicant or any company otherwise affiliated with the applicant by a common owner, manager or holding company;
(3) For which the board of directors of the pharmacy shares any members in common with the board of directors of the applicant; or
(4) Which shares any manager in common with the applicant;
(c) All common ownership, common management, common members of a board of directors, shared managers or shared control between:
(1) The applicant, or any management, parent, subsidiary or jointly held company of the applicant or any company otherwise affiliated by a common owner, manager or holding company with the applicant; and
(2) Any of the following entities:
(I) A Medicaid managed care organization or a company affiliated with a Medicaid managed care organization;
(II) A pharmacy services administrative organization, any other entity that contracts on behalf of a pharmacy or any company affiliated with a pharmacy services administrative organization or such an entity;
(III) A wholesaler, as defined in NRS 639.016, or any company affiliated with a wholesaler;
(IV) A third party, other than a Medicaid managed care organization, or any company affiliated with such a third party; and
(V) A pharmacy or any company affiliated with a pharmacy; and
(d) All financial arrangements, including the terms of each such arrangement, currently in effect between the applicant and a manufacturer or labeler of prescription drugs, including without limitation, an arrangement for:
(1) The management of a formulary;
(2) Fees relating to data sales; and
(3) Education and support for claims processing.
2. As used in this section, third party means any insurer or organization providing health coverage or benefits in accordance with state or federal law.
κ2025 Statutes of Nevada, Page 2598 (CHAPTER 390, SB 389)κ
Sec. 5. 1. The Department shall adopt regulations establishing:
(a) The criteria that a pharmacy benefit manager must meet in order to be eligible to enter into a contract with the Department pursuant to NRS 422.4053 to serve as the state pharmacy benefit manager.
(b) The methodology for reimbursement to pharmacies, other than those pharmacies described in paragraph (c), for providing benefits under a contract entered into pursuant to subsection 1 of NRS 422.4053 or paragraph (a) of subsection 2 of NRS 422.4053.
(c) The methodology for reimbursement to pharmacies owned by a health care facility that is registered as a covered entity pursuant to 42 U.S.C. § 256b under a contract entered into pursuant to subsection 1 of NRS 422.4053 or paragraph (a) of subsection 2 of NRS 422.4053.
(d) Dispensing fees paid to pharmacies and pharmacists for providing benefits under a contract entered into pursuant to subsection 1 of NRS 422.4053 or paragraph (a) of subsection 2 of NRS 422.4053. In establishing those dispensing fees, the Department may consider applicable guidance promulgated by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services.
(e) A requirement that providers must submit to the Department or state pharmacy benefit manager data from claims, as prescribed by the Department, relating to the actual acquisition costs of drugs purchased by the providers from pharmacies owned by health care facilities that are registered as covered entities pursuant to 42 U.S.C. § 256b.
2. To the extent authorized by federal law, the dispensing fees established pursuant to paragraph (d) of subsection 1 may vary by pharmacy type, including, without limitation, rural and independently owned pharmacies, pharmacies owned by a corporation operating in multiple states and pharmacies owned by a health care facility that is registered as a covered entity pursuant to 42 U.S.C. § 256b.
3. To the extent practicable, the methodology for reimbursement established pursuant to paragraph (b) of subsection 1 must:
(a) Generate the maximum amount of savings for the State with respect to the cost of prescription drugs;
(b) Provide rates of reimbursement for drugs which are based on the actual cost of acquiring a drug, to the extent that doing so would result in a reduction of expenditures on prescription drugs by the Department; and
(c) Utilize the Nevada Average Acquisition Cost price benchmark for the purposes set forth in paragraph (b), if established pursuant to subsection 4.
4. Except as otherwise provided in this subsection, the Department shall establish a pricing benchmark to be known as Nevada Average Acquisition Cost to measure the average, actual cost of prescription drugs purchased by pharmacies and other providers in this State directly from manufacturers and wholesalers of prescription drugs or from any other sources. The Department shall establish the Nevada Average Acquisition Cost only if, in the determination of the Department, the development of the benchmark would result in a reduction of spending on prescription drugs by the Department or otherwise result in a net reduction of expenditures by the State. To facilitate the establishment of the Nevada Average Acquisition Cost price benchmark, the Department may:
(a) Establish a survey that must be completed periodically by pharmacies and other providers who purchase prescription drugs;
κ2025 Statutes of Nevada, Page 2599 (CHAPTER 390, SB 389)κ
(b) Utilize any data provided to the Department by the state pharmacy benefit manager or a health management organization with which the Department has contracted pursuant to NRS 422.4053;
(c) Utilize any other data which is accessible to the Department, including, without limitation, data furnished to the Department by providers;
(d) Utilize methodologies similar to those established by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services with respect to the National Average Acquisition Cost pricing benchmark; and
(e) Adopt such regulations as may otherwise be necessary to carry out the purposes of this section.
5. On or before February 1 of each odd-numbered year occurring after the establishment of the Nevada Average Acquisition Cost price benchmark, if established, the Department shall:
(a) Compile a report concerning the actual or estimated savings generated for the State during the immediately preceding two calendar years from the establishment and utilization of the Nevada Average Acquisition Cost price benchmark; and
(b) Submit the report compiled pursuant to paragraph (a) to the Director of the Legislative Counsel Bureau for transmittal to the next regular session of the Legislature.
6. As used in this section:
(a) Actual acquisition cost has the meaning ascribed to it in 42 C.F.R. § 447.502.
(b) Provider means a person or entity who participates in Medicaid as a provider of goods or services.
Sec. 6. 1. The state pharmacy benefit manager shall submit to the Department for review:
(a) Each contract for the provision of benefits under the contract entered into pursuant to NRS 422.4053 between the state pharmacy benefit manager and a pharmacy or an entity that contracts on behalf of such a pharmacy;
(b) Each revision to the terms and conditions of a contract described in paragraph (a); and
(c) Each suspension or termination of a contract described in paragraph (a).
2. The Department shall review each submission received pursuant to subsection 1 and approve or deny the contract, revision, suspension or termination, as applicable. A contract, revision, suspension or termination is not effective until the contract, revision, suspension or termination, as applicable, is approved by the Department.
3. The Department may change a payment arrangement between the Department and a Medicaid managed care organization, the Department and the state pharmacy benefit manager or a Medicaid managed care organization and the state pharmacy benefit manager in order to comply with federal or state law or regulations or any other agreement between the Department and the Federal Government.
4. The state pharmacy benefit manager shall not enter into, renew or amend any contract that is inconsistent with:
κ2025 Statutes of Nevada, Page 2600 (CHAPTER 390, SB 389)κ
(a) The terms and conditions of the contract entered into by the state pharmacy benefit manager with the Department pursuant to NRS 422.4053; or
(b) The reimbursement methodologies and dispensing fees established by the Department pursuant to subsection 1 of section 5 of this act.
5. Any contract entered into by the state pharmacy benefit manager in violation of subsection 4 is void and unenforceable.
Sec. 7. NRS 422.001 is hereby amended to read as follows:
422.001 As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 422.003 to 422.054, inclusive, and sections 2 and 3 of this act have the meanings ascribed to them in those sections.
Sec. 8. NRS 422.273 is hereby amended to read as follows:
422.273 1. For any Medicaid managed care program established in the State of Nevada, the Department shall contract only with a health maintenance organization that has:
(a) Negotiated in good faith with a federally-qualified health center to provide health care services for the health maintenance organization;
(b) Negotiated in good faith with the University Medical Center of Southern Nevada to provide inpatient and ambulatory services to recipients of Medicaid; and
(c) Negotiated in good faith with the University of Nevada School of Medicine to provide health care services to recipients of Medicaid.
Κ Nothing in this section shall be construed as exempting a federally-qualified health center, the University Medical Center of Southern Nevada or the University of Nevada School of Medicine from the requirements for contracting with the health maintenance organization.
2. During the development and implementation of any Medicaid managed care program, the Department shall cooperate with the University of Nevada School of Medicine by assisting in the provision of an adequate and diverse group of patients upon which the school may base its educational programs.
3. The University of Nevada School of Medicine may establish a nonprofit organization to assist in any research necessary for the development of a Medicaid managed care program, receive and accept gifts, grants and donations to support such a program and assist in establishing educational services about the program for recipients of Medicaid.
4. For the purpose of contracting with a Medicaid managed care program pursuant to this section, a health maintenance organization is exempt from the provisions of NRS 695C.123.
5. A Medicaid managed care program must require each health maintenance organization that enters into a contract with the Department pursuant to this section to contract with and utilize the state pharmacy benefit manager for the purpose of administering all pharmacy benefits for recipients of Medicaid who receive pharmacy benefits through the health maintenance organization.
6. Each health maintenance organization that enters into a contract with the Department pursuant to this section shall, upon the request of the Department and in the form prescribed by the Department, disclose the expenditures of the health maintenance organization associated with providing pharmacy benefits for recipients of Medicaid.
κ2025 Statutes of Nevada, Page 2601 (CHAPTER 390, SB 389)κ
7. The provisions of this section apply to any managed care organization, including a health maintenance organization, that provides health care services to recipients of Medicaid under the State Plan for Medicaid or the Childrens Health Insurance Program pursuant to a contract with the Division. Such a managed care organization or health maintenance organization is not required to establish a system for conducting external reviews of adverse determinations in accordance with chapter 695B, 695C or 695G of NRS. This subsection does not exempt such a managed care organization or health maintenance organization for services provided pursuant to any other contract.
[6.] 8. As used in this section, unless the context otherwise requires:
(a) Federally-qualified health center has the meaning ascribed to it in 42 U.S.C. § 1396d(l)(2)(B).
(b) Health maintenance organization has the meaning ascribed to it in NRS 695C.030.
(c) Managed care organization has the meaning ascribed to it in NRS 695G.050.
Sec. 9. NRS 422.401 is hereby amended to read as follows:
422.401 As used in NRS 422.401 to 422.406, inclusive, and sections 4, 5 and 6 of this act, unless the context otherwise requires, the words and terms defined in NRS 422.4015 to 422.4024, inclusive, have the meanings ascribed to them in those sections.
Sec. 10. NRS 422.4025 is hereby amended to read as follows:
422.4025 1. The Department shall [:
(a) By] , by regulation, develop a list of preferred prescription drugs to be used for the Medicaid program and the Childrens Health Insurance Program, and each public or nonprofit health benefit plan that elects to use the list of preferred prescription drugs as its formulary pursuant to NRS 287.012, 287.0433 or 687B.407 . [; and
(b) Negotiate and enter into agreements to purchase the drugs included on the list of preferred prescription drugs on behalf of the health benefit plans described in paragraph (a) or enter into a contract pursuant to NRS 422.4053 with a pharmacy benefit manager, health maintenance organization or one or more public or private entities in this State, the District of Columbia or other states or territories of the United States, as appropriate, to negotiate such agreements.]
2. The Department shall, by regulation, establish a list of prescription drugs which must be excluded from any restrictions that are imposed by the Medicaid program on drugs that are on the list of preferred prescription drugs established pursuant to subsection 1. The list established pursuant to this subsection must include, without limitation:
(a) Prescription drugs that are prescribed for the treatment of the human immunodeficiency virus, including, without limitation, antiretroviral medications;
(b) Antirejection medications for organ transplants;
(c) Antihemophilic medications; and
(d) Any prescription drug which the Board identifies as appropriate for exclusion from any restrictions that are imposed by the Medicaid program on drugs that are on the list of preferred prescription drugs.
3. The regulations must provide that the Board makes the final determination of:
κ2025 Statutes of Nevada, Page 2602 (CHAPTER 390, SB 389)κ
(a) Whether a class of therapeutic prescription drugs is included on the list of preferred prescription drugs and is excluded from any restrictions that are imposed by the Medicaid program on drugs that are on the list of preferred prescription drugs;
(b) Which therapeutically equivalent prescription drugs will be reviewed for inclusion on the list of preferred prescription drugs and for exclusion from any restrictions that are imposed by the Medicaid program on drugs that are on the list of preferred prescription drugs; and
(c) Which prescription drugs should be excluded from any restrictions that are imposed by the Medicaid program on drugs that are on the list of preferred prescription drugs based on continuity of care concerning a specific diagnosis, condition, class of therapeutic prescription drugs or medical specialty.
4. The list of preferred prescription drugs established pursuant to subsection 1 must include, without limitation:
(a) Any prescription drug determined by the Board to be essential for treating sickle cell disease and its variants; and
(b) Prescription drugs to prevent the acquisition of human immunodeficiency virus.
5. The regulations must provide that each new pharmaceutical product and each existing pharmaceutical product for which there is new clinical evidence supporting its inclusion on the list of preferred prescription drugs must be made available pursuant to the Medicaid program with prior authorization until the Board reviews the product or the evidence.
6. The Medicaid program must cover a prescription drug that is not included on the list of preferred prescription drugs as if the drug were included on that list if:
(a) The drug is:
(1) Used to treat hepatitis C;
(2) Used to provide medication-assisted treatment for opioid use disorder;
(3) Used to support safe withdrawal from substance use disorder; or
(4) In the same class as a drug on the list of preferred prescription drugs; and
(b) All preferred prescription drugs within the same class as the drug are unsuitable for a recipient of Medicaid because:
(1) The recipient is allergic to all preferred prescription drugs within the same class as the drug;
(2) All preferred prescription drugs within the same class as the drug are contraindicated for the recipient or are likely to interact in a harmful manner with another drug that the recipient is taking;
(3) The recipient has a history of adverse reactions to all preferred prescription drugs within the same class as the drug; or
(4) The drug has a unique indication that is supported by peer-reviewed clinical evidence or approved by the United States Food and Drug Administration.
7. The Medicaid program must automatically cover any typical or atypical antipsychotic medication or anticonvulsant medication that is not on the list of preferred prescription drugs upon the demonstrated therapeutic failure of one drug on that list to adequately treat the condition of a recipient of Medicaid.
8. On or before February 1 of each year, the Department shall:
κ2025 Statutes of Nevada, Page 2603 (CHAPTER 390, SB 389)κ
(a) Compile a report concerning the [agreements negotiated pursuant to paragraph (b) of subsection 1 and contracts] contract entered into pursuant to subsection 1 of NRS 422.4053 with the state pharmacy benefit manager and any contracts entered into pursuant to subsection 2 of NRS 422.4053, which must include, without limitation, the financial effects of obtaining prescription drugs through [those agreements and contracts, in total and aggregated separately for agreements negotiated by the Department, contracts with a pharmacy benefit manager, contracts with a health maintenance organization and contracts with public and private entities from this State, the District of Columbia and other states and territories of the United States;] each such contract; and
(b) Post the report on an Internet website maintained by the Department and submit the report to the Director of the Legislative Counsel Bureau for transmittal to:
(1) In odd-numbered years, the Legislature; or
(2) In even-numbered years, the Legislative Commission.
Sec. 11. NRS 422.4032 is hereby amended to read as follows:
422.4032 1. The Department [or a] , the state pharmacy benefit manager or a health maintenance organization with which the Department contracts pursuant to NRS 422.4053 to manage prescription drug benefits shall allow a recipient of Medicaid who has been diagnosed with stage 3 or 4 cancer or the attending practitioner of the recipient to apply for an exemption from step therapy that would otherwise be required pursuant to NRS 422.403 to instead use a prescription drug prescribed by the attending practitioner to treat the cancer or any symptom thereof of the recipient of Medicaid. The application process must:
(a) Allow the recipient or attending practitioner, or a designated advocate for the recipient or attending practitioner, to present to the Department, state pharmacy benefit manager or health maintenance organization, as applicable, the clinical rationale for the exemption and any relevant medical information.
(b) Clearly prescribe the information and supporting documents that must be submitted with the application, the criteria that will be used to evaluate the request and the conditions under which an expedited determination pursuant to subsection 4 is warranted.
(c) Require the review of each application by at least one physician, registered nurse or pharmacist.
2. The information and supporting documentation required pursuant to paragraph (b) of subsection 1:
(a) May include, without limitation:
(1) The medical history or other health records of the recipient demonstrating that the recipient has:
(I) Tried other drugs included in the pharmacological class of drugs for which the exemption is requested without success; or
(II) Taken the requested drug for a clinically appropriate amount of time to establish stability in relation to the cancer and the guidelines of the prescribing practitioner; and
(2) Any other relevant clinical information.
(b) Must not include any information or supporting documentation that is not necessary to make a determination about the application.
κ2025 Statutes of Nevada, Page 2604 (CHAPTER 390, SB 389)κ
3. Except as otherwise provided in subsection 4, the Department, state pharmacy benefit manager or health maintenance organization, as applicable, [that receives] upon receiving an application for an exemption pursuant to subsection 1 , shall:
(a) Make a determination concerning the application if the application is complete, or request additional information or documentation necessary to complete the application not later than 72 hours after receiving the application; and
(b) If [it] the state pharmacy benefit manager or health maintenance organization requests additional information or documentation, make a determination concerning the application not later than 72 hours after receiving the requested information or documentation.
4. If, in the opinion of the attending practitioner, step therapy may seriously jeopardize the life or health of the recipient, the Department, state pharmacy benefit manager or health maintenance organization , [that receives an application for an exemption pursuant to subsection 1,] as applicable, must make a determination concerning the application as expeditiously as necessary to avoid serious jeopardy to the life or health of the recipient.
5. The Department, state pharmacy benefit manager or health maintenance organization, as applicable, shall disclose to a recipient or attending practitioner who submits an application for an exemption from step therapy pursuant to subsection 1 the qualifications of each person who will review the application.
6. The Department, state pharmacy benefit manager or health maintenance organization, as applicable, must grant an exemption from step therapy in response to an application submitted pursuant to subsection 1 if:
(a) Any treatment otherwise required under the step therapy or any drug in the same pharmacological class or having the same mechanism of action as the drug for which the exemption is requested has not been effective at treating the cancer or symptom of the recipient when prescribed in accordance with clinical indications, clinical guidelines or other peer-reviewed evidence;
(b) Delay of effective treatment would have severe or irreversible consequences for the recipient and the treatment otherwise required under the step therapy is not reasonably expected to be effective based on the physical or mental characteristics of the recipient and the known characteristics of the treatment;
(c) Each treatment otherwise required under the step therapy:
(1) Is contraindicated for the recipient or has caused or is likely, based on peer-reviewed clinical evidence, to cause an adverse reaction or other physical harm to the recipient; or
(2) Has prevented or is likely to prevent the recipient from performing the responsibilities of his or her occupation or engaging in activities of daily living, as defined in 42 C.F.R. § 441.505; or
(d) The condition of the recipient is stable while being treated with the prescription drug for which the exemption is requested and the recipient has previously received approval for coverage of that drug.
7. If the Department, state pharmacy benefit manager or health maintenance organization, as applicable, approves an application for an exemption from step therapy pursuant to this section, the State must pay the nonfederal share of the cost of the prescription drug to which the exemption applies.
κ2025 Statutes of Nevada, Page 2605 (CHAPTER 390, SB 389)κ
applies. The Department, state pharmacy benefit manager or health maintenance organization may initially limit the coverage to a 1-week supply of the drug for which the exemption is granted. If the attending practitioner determines after 1 week that the drug is effective at treating the cancer or symptom for which it was prescribed, the State must continue to pay the nonfederal share of the cost of the drug for as long as it is necessary to treat the recipient for the cancer or symptom. The Department, state pharmacy benefit manager or health maintenance organization, as applicable, may conduct a review not more frequently than once each quarter to determine, in accordance with available medical evidence, whether the drug remains necessary to treat the recipient for the cancer or symptom. The Department, state pharmacy benefit manager or health maintenance organization, as applicable, shall provide a report of the review to the recipient.
8. The Department , [and any] the state pharmacy benefit manager [or] and each health maintenance organization with which the Department contracts pursuant to NRS 422.4053 [to manage prescription drug benefits] shall post in an easily accessible location on an Internet website maintained by the Department, state pharmacy benefit manager or health maintenance organization, as applicable, a form for requesting an exemption pursuant to this section.
9. As used in this section, attending practitioner means the practitioner, as defined in NRS 639.0125, who has primary responsibility for the treatment of the cancer or any symptom of such cancer of a recipient.
Sec. 12. NRS 422.4053 is hereby amended to read as follows:
422.4053 1. [Except as otherwise provided in subsection 2, the] The Department shall [directly] :
(a) Evaluate applications received pursuant to section 4 of this act and choose an applicant to serve as the state pharmacy benefit manager; and
(b) Enter into a contract with the state pharmacy benefit manager chosen pursuant to paragraph (a) to, except as otherwise provided in subsection 2, manage, direct and coordinate [all] payments and rebates for any prescription drugs included on the list of preferred prescription drugs developed pursuant to NRS 422.4025, any other prescription drugs listed in the contract and all other services and payments relating to the provision of such prescription drugs under the State Plan for Medicaid , [and] the Childrens Health Insurance Program [.] and the other health benefit plans described in subsection 1 of NRS 422.4025.
2. The Department may enter into a contract with:
(a) [A pharmacy benefit manager for the provision of any services described in subsection 1.
(b)] A health maintenance organization pursuant to NRS 422.273 for the provision of any of the services described in subsection 1 through the contract entered into pursuant to subsection 5 of NRS 422.273 for recipients of Medicaid or recipients of insurance through the Childrens Health Insurance Program who receive coverage through a Medicaid managed care program.
[(c)] (b) One or more public or private entities from this State, the District of Columbia or other states or territories of the United States for the collaborative purchasing of prescription drugs in accordance with subsection 3 of NRS 277.110.
3. [A] The contract entered into pursuant to [paragraph (a) or (b) of] subsection [2] 1 must:
κ2025 Statutes of Nevada, Page 2606 (CHAPTER 390, SB 389)κ
(a) Include the provisions required by NRS 422.4056;
(b) Require the state pharmacy benefit manager [or health maintenance organization, as applicable,] to disclose to the Department any information relating to the services covered by the contract, including, without limitation, information concerning dispensing fees, measures for the control of costs, rebates collected and paid , [and] any fees and charges imposed by the state pharmacy benefit manager [or health maintenance organization] pursuant to the contract [;] and any other sources of payment received by the state pharmacy benefit manager for prescription drugs covered by the contract;
(c) Require the state pharmacy benefit manager [or health maintenance organization] to comply with the provisions of this chapter regarding the provision of prescription drugs under the State Plan for Medicaid and the Childrens Health Insurance Program to the same extent as the Department [.
4. In addition to meeting the requirements of subsection 3, a contract entered into pursuant to:
(a) Paragraph (a) of subsection 2 may require] ;
(d) Require the state pharmacy benefit manager to comply with all other applicable state and federal laws;
(e) Require the state pharmacy benefit manager to negotiate and enter into agreements to purchase the drugs included on the list of preferred prescription drugs developed pursuant to NRS 422.4025, except where those drugs are purchased through a contract entered into pursuant to subsection 2; and
(f) Require the state pharmacy benefit manager to provide the entire amount of any rebates received for the purchase of prescription drugs, including, without limitation, rebates for the purchase of prescription drugs by an entity other than the Department, to the Department.
[(b) Paragraph (b) of subsection 2 must require the health maintenance organization to provide to the Department the entire amount of any rebates received for the purchase of prescription drugs, including, without limitation, rebates for the purchase of prescription drugs by an entity other than the Department, less an administrative fee in an amount prescribed by the contract. The Department shall adopt policies prescribing the maximum amount of such an administrative fee.]
4. In addition to meeting the requirements of subsection 3, a contract entered into pursuant to subsection 1 must prohibit the state pharmacy benefit manager from:
(a) Using spread pricing;
(b) Paying a pharmacy a professional dispensing fee for a drug which is less than the applicable dispensing fee established pursuant to section 5 of this act, if the applicable dispensing fee established pursuant to that section has been included in the State Plan for Medicaid and approved by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services;
(c) Creating, modifying, implementing or indirectly establishing any fee to be imposed upon a pharmacy, a pharmacist or a recipient of benefits under the contract without first seeking and obtaining written approval from the Department;
(d) Requiring a recipient of benefits under the contract to obtain a specialty drug from a specialty pharmacy owned by or otherwise associated with the state pharmacy benefit manager;
κ2025 Statutes of Nevada, Page 2607 (CHAPTER 390, SB 389)κ
(e) Requiring a recipient of benefits under the contract to use a specific pharmacy; and
(f) Requiring a recipient of benefits under the contract to use a mail order pharmacy or Internet pharmacy.
5. A contract entered into with a health maintenance organization pursuant to paragraph (a) of subsection 2 must:
(a) Include the provisions required by NRS 422.4056;
(b) Require the health maintenance organization to disclose to the Department any information relating to the services covered by the contract, including, without limitation, information concerning dispensing fees, measures for the control of costs, rebates collected and any fees and charges imposed by the health maintenance organization imposed by the contract;
(c) Require the health maintenance organization to comply with the provisions of this chapter regarding the provision of prescription drugs under the State Plan for Medicaid and the Childrens Health Insurance Program to the same extent as the Department; and
(d) Require the health maintenance organization to provide to the Department the entire amount of any rebates received for the purchase of prescription drugs, including, without limitation, rebates for the purchase of prescription drugs by an entity other than the Department.
6. As used in this section:
(a) Internet pharmacy has the meaning ascribed to it in NRS 639.00865.
(b) Professional dispensing fee has the meaning ascribed to it in 42 C.F.R. § 447.502.
(c) Spread pricing means any technique by which a pharmacy benefit manager charges or claims an amount from an insurer for drugs or services provided by a pharmacy or pharmacist that is different from the amount the pharmacy benefit manager pays the pharmacy or pharmacist, as applicable, for those drugs or services.
Sec. 13. NRS 422.4056 is hereby amended to read as follows:
422.4056 1. [Any] The contract between the Department and [a] the state pharmacy benefit manager [or] and any contract between the Department and a health maintenance organization entered into pursuant to NRS 422.4053 must require the state pharmacy benefit manager or health maintenance organization, as applicable, to:
(a) Submit to and cooperate with an annual audit by the Department to evaluate the compliance of the state pharmacy benefit manager or health maintenance organization with the agreement and generally accepted accounting and business practices. The audit must analyze all claims processed by the state pharmacy benefit manager or health maintenance organization pursuant to the agreement.
(b) Obtain from an independent accountant, at the expense of the state pharmacy benefit manager or health maintenance organization, as applicable, an annual audit of internal controls to ensure the integrity of financial transactions and claims processing.
2. The Department shall post the results of any audit conducted pursuant to paragraph (a) of subsection 1 on an Internet website maintained by the Department.
κ2025 Statutes of Nevada, Page 2608 (CHAPTER 390, SB 389)κ
Sec. 14. NRS 683A.1785 is hereby amended to read as follows:
683A.1785 1. A pharmacy benefit manager shall not:
(a) Discriminate against a covered entity, a contract pharmacy or a 340B drug in the amount of reimbursement for any item or service or the procedures for obtaining such reimbursement;
(b) Assess any fee, chargeback, clawback or adjustment against a covered entity or contract pharmacy on the basis that the covered entity or contract pharmacy dispenses a 340B drug or otherwise limit the ability of a covered entity or contract pharmacy to receive the full benefit of purchasing the 340B drug at or below the ceiling price, as calculated pursuant to 42 U.S.C. § 256b(a)(1);
(c) Exclude a covered entity or contract pharmacy from any network because the covered entity or contract pharmacy dispenses a 340B drug;
(d) Restrict the ability of a person to receive a 340B drug, including, without limitation, by imposing a copayment, coinsurance, deductible or other cost-sharing obligation on the drug that is different from a similar drug on the basis that the drug is a 340B drug;
(e) Restrict the methods by which a covered entity or contract pharmacy may dispense or deliver a 340B drug or the entity through which a covered entity may dispense or deliver such a drug in a manner that does not apply to drugs that are not 340B drugs; or
(f) Prohibit a covered entity or contract pharmacy from purchasing a 340B drug or interfere with the ability of a covered entity or contract pharmacy to purchase a 340B drug.
2. This section does not:
(a) Apply to [a] the state pharmacy benefit manager [that has entered into a contract with the Department of Health and Human Services pursuant to NRS 422.4053] when the state pharmacy benefit manager is managing prescription drug benefits under Medicaid, including, without limitation, where such benefits are delivered through a Medicaid managed care organization.
(b) Prohibit the Department of Health and Human Services, the Division of Health Care Financing and Policy of the Department of Health and Human Services or a Medicaid managed care organization from taking such actions as are necessary to:
(1) Prevent duplicate discounts or rebates where prohibited by 42 U.S.C. § 256b(a)(5)(A); or
(2) Ensure the financial stability of the Medicaid program, including, without limitation, by including or enforcing provisions in [any] the contract with [a] the state pharmacy benefit manager . [entered into pursuant to NRS 422.4053.]
3. As used in this section:
(a) 340B drug means a prescription drug that is purchased by a covered entity under the 340B Program.
(b) 340B Program means the drug pricing program established by the United States Secretary of Health and Human Services pursuant to section 340B of the Public Health Service Act, 42 U.S.C. § 256b, as amended.
(c) Contract pharmacy means a pharmacy that enters into a contract with a covered entity to dispense 340B drugs and provide related pharmacy services to the patients of the covered entity.
(d) Covered entity has the meaning ascribed to it in 42 U.S.C. § 256b(a)(4).
κ2025 Statutes of Nevada, Page 2609 (CHAPTER 390, SB 389)κ
(e) Medicaid managed care organization has the meaning ascribed to it in 42 U.S.C. § 1396b(m).
(f) Network means a defined set of providers of health care who are under contract with a pharmacy benefit manager or third party to provide health care services to covered persons.
(g) State pharmacy benefit manager has the meaning ascribed to it in section 3 of this act.
Sec. 15. 1. The initial contract between the Department of Health and Human Services and the state pharmacy benefit manager entered into pursuant to NRS 422.4053, as amended by section 12 of this act, must become effective on or before January 1, 2030.
2. As used in this section, state pharmacy benefit manager has the meaning ascribed to it in section 3 of this act.
Sec. 16. The provisions of NRS 218D.380 do not apply to any provision of this act which adds or revises a requirement to submit a report to the Legislature.
Sec. 17. 1. This section becomes effective upon passage and approval.
2. Sections 1 to 16, inclusive, of this act become effective:
(a) Upon passage and approval for the purpose of adopting any regulations and performing any preparatory administrative tasks that are necessary to carry out the provisions of this act; and
(b) On the effective date of the initial contract entered into between the Department of Health and Human Services and the state pharmacy benefit manager pursuant to NRS 422.4053, as amended by section 12 of this act, for all other purposes.
________
Senate Bill No. 424Committee on Health and Human Services
CHAPTER 391
[Approved: June 6, 2025]
AN ACT relating to emergency medical services; requiring the Division of Health Care Financing and Policy of the Department of Health and Human Services to impose an assessment on private emergency medical transport providers; creating the Account to Improve Emergency Medical Transportation Quality and Access; prescribing the authorized uses of the revenue generated by the assessment; requiring the Division to adopt regulations establishing administrative penalties; authorizing the Division to collect an unpaid assessment or administrative penalty; authorizing certain health authorities to impose administrative penalties or take other disciplinary actions in certain circumstances; authorizing a health authority to establish a training program relating to human trafficking; establishing requirements for such a training program; and providing other matters properly relating thereto.
κ2025 Statutes of Nevada, Page 2610 (CHAPTER 391, SB 424)κ
Legislative Counsels Digest:
Existing law authorizes the Division of Health Care Financing and Policy of the Department of Health and Human Services to impose, in certain circumstances, an assessment on agencies to provide personal care services in the home or medical facilities that are required to obtain a certain type of license. (NRS 422.3794) Existing law requires the Division to expend the revenue generated from the assessment to: (1) provide supplemental payments and enhanced rates of reimbursement to operators of agencies to provide personal care services in the home and operators of medical facilities for services rendered to recipients of Medicaid; (2) fund certain additional supports and services under Medicaid; and (3) pay administrative costs. (NRS 422.37945) Sections 2-9 of this bill require the imposition of a similar assessment on private emergency medical transport providers. Section 6 requires: (1) the percentage of the assessment to be based on a percentage of net revenue earned by the private emergency medical transport provider from providing services in this State; and (2) the Division to set the amount of the percentage of the assessment by regulation, subject to certain requirements.
Section 7 creates the Account to Improve Emergency Medical Transportation Quality and Access. Section 7 requires the Division to administer the Account and to deposit the proceeds collected from the assessment into the Account. Section 7 provides that money in the Account may only be expended to: (1) provide enhanced rates of reimbursement under Medicaid to private emergency medical transport providers for providing emergency ambulance services to recipients of Medicaid; (2) fund certain data infrastructure improvements and educational and community outreach initiatives undertaken by the Department; and (3) pay administrative costs related to the assessment. If the Legislature authorizes the money in the Account to be used for any other purpose, section 7: (1) requires that the Division cease imposing the assessment; and (2) provides that the regulations adopted to impose the assessment are void.
Section 8 requires the Division to adopt regulations establishing administrative penalties against a private emergency medical transport provider that fails to pay an assessment in a timely manner. Section 8 authorizes the Division, after notifying the provider, to: (1) deduct the amount of an unpaid assessment or administrative penalty from future payments owed to the private emergency medical transport provider under Medicaid; and (2) negotiate a payment plan with a delinquent private emergency medical transport provider before making such deductions. Section 8 also requires the Division to notify the health authority that issued a private emergency medical transport provider a permit to own or operate an ambulance in this State if the provider has failed to pay an assessment or administrative penalty in a timely manner. Section 11 of this bill authorizes the applicable health authority to, after receiving such a notification from the Division, take certain disciplinary actions against the private emergency medical transport provider.
Section 9 authorizes the Division to modify the amount of the assessment, the enhanced rates of reimbursement or any other requirement established by sections 2-9 as necessary to receive federal financial participation to carry out the provisions of sections 2-9. Section 9 also requires the suspension of the assessment and the payment of enhanced rates of reimbursement upon the occurrence of certain events. Section 9 requires the retroactive reimposition of such assessments and payments when the event triggering the suspension is no longer applicable.
Sections 3-5 define certain terms and section 2 establishes the applicability of those definitions. Section 10 of this bill requires the Director of the Department to administer the provisions of sections 2-9 in the same manner as other provisions relating to Medicaid.
Existing law authorizes a health authority to operate a training program in emergency first aid, emergency care and other techniques associated with emergency care for the benefit of certain professionals who may respond to emergencies as a part of their job duties, including ambulance attendants and firefighters. (NRS 450B.850) Section 11.5 of this bill authorizes a health authority to establish a separate training program which is focused on identifying and responding to victims of human trafficking.
κ2025 Statutes of Nevada, Page 2611 (CHAPTER 391, SB 424)κ
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. Chapter 422 of NRS is hereby amended by adding thereto the provisions set forth as sections 2 to 9, inclusive, of this act.
Sec. 2. As used in sections 2 to 9, inclusive, of this act, unless the context otherwise requires, the words and terms defined in sections 3 to 5, inclusive, of this act have the meanings ascribed to them in those sections.
Sec. 3. Account means the Account to Improve Emergency Medical Transportation Quality and Access created by section 7 of this act.
Sec. 3.5. Ambulance has the meaning ascribed to it in NRS 450B.040.
Sec. 4. Emergency ambulance service:
1. Means the transportation by ambulance of a person who is experiencing a medical emergency to a medical facility; and
2. Includes the rendering of medical care by a paramedic, as defined in NRS 450B.095, emergency medical technician, as defined in NRS 450B.065, or advanced emergency medical technician, as defined in NRS 450B.025, in connection with the transportation of the person.
Sec. 5. Private emergency medical transport provider means a person or entity that:
1. Provides or renders emergency ambulance services in this State;
2. Holds a permit to own or operate an ambulance issued pursuant to the provisions of chapter 450B of NRS; and
3. Is not owned or operated by a federal, state or local governmental entity or a federally recognized tribe.
Sec. 6. 1. Except as otherwise provided in subsection 4 and sections 7 and 9 of this act, the Division shall impose by regulation against each private emergency medical transport provider an assessment in an amount equal to a percentage of the net revenue earned by a private emergency medical transport provider from providing emergency ambulance services in this State during a calendar or fiscal year. The Division shall adopt:
(a) Regulations prescribing the percentage that must be used to calculate the amount of the assessment, the date on which the assessment is due and the manner in which the assessment must be paid; and
(b) Any other regulations necessary or convenient to carry out the provisions of this section.
2. The amount of the assessment imposed pursuant to subsection 1:
(a) Except as otherwise provided in paragraph (b), must be equal to the maximum percentage authorized under federal law; and
(b) Except where necessary pursuant to subsection 1 of section 9 of this act, must not exceed 5.5 percent of the net revenue earned by a private emergency medical transport provider from providing emergency ambulance services in this State during a calendar or fiscal year.
3. The revenue from an assessment imposed pursuant to subsection 1 must be deposited into the Account.
4. An assessment imposed pursuant to subsection 1 must comply with the provisions of 42 C.F.R. § 433.68. An assessment must not be imposed pursuant to subsection 1 if federal law or regulations prohibit using the revenue generated by the assessment for the purposes described in section 7 of this act.
κ2025 Statutes of Nevada, Page 2612 (CHAPTER 391, SB 424)κ
in section 7 of this act. If new federal law or regulations imposing such a prohibition are enacted or adopted, as applicable:
(a) An assessment must not be collected after the effective date of the new federal law or regulations; and
(b) Any money collected during the calendar or fiscal year, as applicable, in which the new federal law or regulations become effective must be returned to the private emergency medical transport providers from whom it was collected.
5. A private emergency medical transport provider shall submit to the Division any information requested by the Division at such times as are determined by the Division for the purposes of carrying out the provisions of this section. Such information may include, without limitation:
(a) The number of emergency ambulance service trips provided in this State by the private emergency medical transport provider; and
(b) The total net revenue earned by the private emergency medical transport provider for the emergency ambulance services described in paragraph (a).
6. A private emergency medical transport provider shall keep and maintain accurate records as necessary to support the accuracy of information requested by the Division pursuant to this section.
7. As used in this section:
(a) Cash basis means the system of accounting under which revenues are recorded only when received and expenditures or expenses are recorded only when paid.
(b) Net revenue means net patient revenue collected by a private emergency medical transport provider that is attributable to the rendering of emergency ambulance services, determined on a cash basis of accounting.
Sec. 7. 1. The Account to Improve Emergency Medical Transportation Quality and Access is hereby created in the State General Fund. The Division shall administer the Account. The revenue from assessments and penalties imposed on private emergency medical transport providers pursuant to sections 6 and 8, respectively, of this act must be accounted for separately in the Account.
2. The interest and income earned on the money in the Account, after deducting any applicable charges, must be credited to the Account.
3. The money in the Account must only be expended to:
(a) Provide enhanced rates of reimbursement to private emergency medical transport providers that provide emergency ambulance services to recipients of Medicaid;
(b) Provide funding to allow the Department to:
(1) Modernize processes and infrastructure relating to the collection and maintenance of data that is useful for purposes relating to public health;
(2) Provide education to the public relating to emergency medical services; and
(3) Conduct community outreach to improve public health; and
(c) Carry out the provisions of sections 2 to 9, inclusive, of this act.
4. Except as otherwise provided in section 9 of this act, all money deposited into the Account, except for the money necessary for the purposes described in paragraphs (b) and (c) of subsection 3, and all federal financial participation provided to match the money in the Account must be expended to fund the enhanced rates of reimbursement established pursuant to paragraph (a) of subsection 3. Such enhanced rates of reimbursement may be provided through any or all of the following means:
κ2025 Statutes of Nevada, Page 2613 (CHAPTER 391, SB 424)κ
(a) Increases to rates of reimbursement paid to private emergency medical transport providers who receive such reimbursement on a fee-for-service basis.
(b) The establishment of a minimum schedule of fees to be paid to private emergency medical transport providers who provide services to recipients of Medicaid under the Medicaid managed care program established pursuant to NRS 422.273.
(c) Directed payments to private emergency medical transport providers who provide services to recipients of Medicaid under the Medicaid managed care program established pursuant to NRS 422.273, without respect to whether a provider participates in the network of providers established or used by the Medicaid managed care program.
5. Not more than 10 percent of the total amount of money generated each year by the assessment imposed pursuant to section 6 of this act may be expended for the purposes described in paragraphs (b) and (c) of subsection 3. Money allocated for such expenditures must be used first for the purpose described in paragraph (c) of subsection 3. If money allocated for such expenditures remains after all necessary expenditures are made for that purpose, the Division shall expend the remaining money for the purposes described in paragraph (b) of subsection 3.
6. Any money remaining in the Account at the end of a fiscal year does not revert to the State General Fund, and the balance in the Account must be carried forward to the next fiscal year.
7. Money in the Account must not be expended to replace money that would otherwise be used to provide reimbursement under Medicaid to private emergency medical transport providers.
8. The Director shall seek any necessary federal authority to capture all available financial federal participation to carry out the purposes described in paragraph (a) of subsection 3.
9. If the Legislature authorizes money in the Account to be used for any purpose other than those authorized by subsection 3:
(a) The Division shall cease imposing the assessment provided by section 6 of this act; and
(b) The regulations adopted to impose the assessment pursuant to section 6 of this act are void.
Sec. 8. 1. The Division shall adopt regulations that establish administrative penalties for the failure to timely pay any assessment imposed pursuant to section 6 of this act. Any money collected from administrative penalties imposed pursuant to this subsection must be deposited into the Account.
2. If a private emergency medical transport provider fails to remit to the Division any penalty imposed pursuant to subsection 1 or any assessment imposed pursuant to section 6 of this act within 30 days after the date on which the penalty or assessment is due, as applicable, the Division:
(a) May deduct the amount of the penalty or assessment, as applicable, from any future payment owed to the private emergency medical transport provider under Medicaid; and
(b) Shall notify each health authority of this State that has issued the private emergency medical transport provider a permit to operate an ambulance that the private emergency medical transport provider has failed to pay a penalty or assessment, as applicable.
3. Before taking any action described in subsection 2, the Division:
κ2025 Statutes of Nevada, Page 2614 (CHAPTER 391, SB 424)κ
(a) Shall notify the private emergency medical transport provider of the action that the Division intends to take, the specific reason for the action and, where applicable, the amount of the penalty or assessment that will be deducted; and
(b) May negotiate a payment plan with the private emergency medical transport provider.
4. As used in this section, health authority has the meaning ascribed to it in NRS 450B.077.
Sec. 9. 1. The Division may, after consulting with a representative sample of private emergency medical transport providers, modify the percentage of the assessment imposed on private emergency medical transport providers pursuant to section 6 of this act, the amount of any enhanced rate of reimbursement described in paragraph (a) of subsection 3 of section 7 of this act or any other requirement or formula established pursuant to sections 2 to 9, inclusive, of this act to the extent necessary to obtain federal financial participation for the enhanced rates of reimbursement described in paragraph (a) of subsection 3 of section 7 of this act. Such modifications must not result in the collection of assessments in an amount greater than is required for the purposes prescribed by subsection 3 of section 7 of this act.
2. The Division shall take the actions described in subsection 3 after determining that:
(a) The amount of funding available for the reimbursement of private emergency medical transport providers has decreased below the level of funding that was available for that purpose during the fiscal year ending on June 30, 2025;
(b) The rate of reimbursement under Medicaid for emergency ambulance services has decreased below the rate of reimbursement established under Medicaid for emergency ambulance services as of June 30, 2022;
(c) Federal financial participation is not available for the payment of enhanced rates of reimbursement described in paragraph (a) of subsection 3 of section 7 of this act; or
(d) The revenue collected from assessments imposed pursuant to section 6 of this act will be insufficient for the purposes described in paragraphs (a) and (c) of subsection 3 of section 7 of this act.
3. If the Division makes a determination described in subsection 2, the Division shall:
(a) Immediately cease imposing and collecting the assessment otherwise required to be imposed pursuant to section 6 of this act;
(b) Immediately cease using the money generated through that assessment for the purposes described in subsection 3 of section 7 of this act; and
(c) Return any money collected through the assessment imposed pursuant to section 6 of this act that the Division is prohibited by paragraph (b) from using for the purposes described in subsection 3 of section 7 of this act to the private emergency medical transport provider from whom it was collected.
4. If the Division, after suspending the collection of assessments and the payment of enhanced rates of reimbursement pursuant to subsection 3, determines that the provisions of subsection 2 no longer apply, the Division shall:
κ2025 Statutes of Nevada, Page 2615 (CHAPTER 391, SB 424)κ
(a) Resume collecting assessments pursuant to section 6 of this act;
(b) Resume payment of the enhanced rates of reimbursement described in paragraph (a) of subsection 3 of section 7 of this act; and
(c) Establish, for the period of time during which such assessments and payments were suspended pursuant to subsection 3, a schedule for the retroactive:
(1) Collection of assessments pursuant to section 6 of this act; and
(2) Payment of enhanced rates of reimbursement pursuant to paragraph (a) of subsection 3 of section 7 of this act.
5. As used in this section, representative sample of private emergency medical transport providers means:
(a) A group of private emergency medical transport providers which have collectively provided not less than 67 percent of the emergency ambulance trips provided in this State in the immediately preceding calendar year; or
(b) An association which represents private emergency medical transport providers which have collectively provided not less than 67 percent of the emergency ambulance trips provided in this State in the immediately preceding calendar year.
Sec. 10. NRS 232.320 is hereby amended to read as follows:
232.320 1. The Director:
(a) Shall appoint, with the consent of the Governor, administrators of the divisions of the Department, who are respectively designated as follows:
(1) The Administrator of the Aging and Disability Services Division;
(2) The Administrator of the Division of Welfare and Supportive Services;
(3) The Administrator of the Division of Child and Family Services;
(4) The Administrator of the Division of Health Care Financing and Policy; and
(5) The Administrator of the Division of Public and Behavioral Health.
(b) Shall administer, through the divisions of the Department, the provisions of chapters 63, 424, 425, 427A, 432A to 442, inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and sections 2 to 9, inclusive, of this act, 422.580, 432.010 to 432.133, inclusive, 432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, and 445A.010 to 445A.055, inclusive, and all other provisions of law relating to the functions of the divisions of the Department, but is not responsible for the clinical activities of the Division of Public and Behavioral Health or the professional line activities of the other divisions.
(c) Shall administer any state program for persons with developmental disabilities established pursuant to the Developmental Disabilities Assistance and Bill of Rights Act of 2000, 42 U.S.C. §§ 15001 et seq.
(d) Shall, after considering advice from agencies of local governments and nonprofit organizations which provide social services, adopt a master plan for the provision of human services in this State. The Director shall revise the plan biennially and deliver a copy of the plan to the Governor and the Legislature at the beginning of each regular session. The plan must:
(1) Identify and assess the plans and programs of the Department for the provision of human services, and any duplication of those services by federal, state and local agencies;
(2) Set forth priorities for the provision of those services;
κ2025 Statutes of Nevada, Page 2616 (CHAPTER 391, SB 424)κ
(3) Provide for communication and the coordination of those services among nonprofit organizations, agencies of local government, the State and the Federal Government;
(4) Identify the sources of funding for services provided by the Department and the allocation of that funding;
(5) Set forth sufficient information to assist the Department in providing those services and in the planning and budgeting for the future provision of those services; and
(6) Contain any other information necessary for the Department to communicate effectively with the Federal Government concerning demographic trends, formulas for the distribution of federal money and any need for the modification of programs administered by the Department.
(e) May, by regulation, require nonprofit organizations and state and local governmental agencies to provide information regarding the programs of those organizations and agencies, excluding detailed information relating to their budgets and payrolls, which the Director deems necessary for the performance of the duties imposed upon him or her pursuant to this section.
(f) Has such other powers and duties as are provided by law.
2. Notwithstanding any other provision of law, the Director, or the Directors designee, is responsible for appointing and removing subordinate officers and employees of the Department.
Sec. 11. NRS 450B.215 is hereby amended to read as follows:
450B.215 1. If the health authority receives notification from the Department of Health and Human Services pursuant to NRS 439.5895 that the holder of a permit to operate an ambulance, air ambulance or vehicle of a fire-fighting agency is not in compliance with the requirements of subsection 4 of NRS 439.589, the health authority may, after notice and the opportunity for a hearing in accordance with the provisions of this chapter, require corrective action or impose an administrative penalty in an amount established by regulation of the board.
2. The health authority shall not suspend or revoke a permit for failure to comply with the requirements of subsection 4 of NRS 439.589.
3. If the health authority receives a notification from the Division of Health Care Financing and Policy of the Department of Health and Human Services pursuant to section 8 of this act that the holder of a permit to operate an ambulance has failed to pay an assessment imposed pursuant to section 6 of this act or an administrative penalty imposed pursuant to section 8 of this act, the health authority may, after notice and the opportunity for a hearing in accordance with the provisions of this chapter:
(a) Require corrective action;
(b) Impose an administrative penalty in an amount established by regulation of the board; or
(c) Revoke or suspend the permit of the holder.
Sec. 11.5. NRS 450B.850 is hereby amended to read as follows:
450B.850 1. The health authority may operate training programs and may contract with others to operate training programs for ambulance attendants, ambulance service operators, firefighters, law enforcement officers, physicians, nurses and others in emergency first aid, emergency care and any other techniques associated with emergency care, transportation and treatment of the sick and injured and the proper operation of an ambulance service.
κ2025 Statutes of Nevada, Page 2617 (CHAPTER 391, SB 424)κ
2. The health authority may establish a program of evidence-based training which focuses on the identification of and proper response to victims of human trafficking, including, without limitation, sex trafficking.
3. Any program of training established pursuant to subsection 2 must:
(a) Be developed in coordination with an institution of higher education that:
(1) Has met the standards required by an accrediting body recognized by the United States Department of Education; or
(2) Is recognized as accredited by the United States Department of Education;
(b) Utilize curriculum which:
(1) Is consistent with the standards of care for anti-trafficking providers published by the Office for Victims of Crime of the United States Department of Justice and the Office on Trafficking in Persons of the United States Department of Health and Human Services, if such standards have been published; and
(2) Includes instruction on the core components of responding and providing services to victims of human trafficking, including, without limitation:
(I) Outreach to persons affected by human trafficking;
(II) Identifying victims of human trafficking;
(III) Protocols for screening victims of human trafficking;
(IV) Delivering services to victims of human trafficking using trauma-informed methods;
(V) Pathways for referrals; and
(VI) Best practices for ensuring the privacy and confidentiality of victims of human trafficking;
(c) Provide not less than 1 hour of instruction to persons attending the program; and
(d) Be offered by the health authority to:
(1) Any emergency response employee, including, without limitation, a person who currently holds a license or certificate, as applicable, as an ambulance attendant, emergency medical technician, advanced emergency medical technician or paramedic; or
(2) An applicant for a license or certificate described in subparagraph (1), as applicable.
Sec. 12. The provisions of subsections 3 and 4 of section 9 of this act apply to any period described in subsection 2 of section 9 of this act that occurs on or after July 1, 2025, including, without limitation, a period where federal financial participation is not available for the payment of enhanced rates of reimbursement described in paragraph (a) of subsection 3 of section 7 of this act because the Department of Health and Human Services has not yet obtained approval from the United States Secretary of Health and Human Services to pay such enhanced rates of reimbursement.
Sec. 13. 1. This section becomes effective upon passage and approval.
2. Sections 1 to 12, inclusive, of this act become effective:
(a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act; and
(b) On July 1, 2025, for all other purposes.
________
κ2025 Statutes of Nevada, Page 2618κ
Senate Bill No. 443Committee on Growth and Infrastructure
CHAPTER 392
[Approved: June 6, 2025]
AN ACT relating to public works; providing a declaration of legislative intent regarding the payment of prevailing wages to workers employed by a contractor or subcontractor to perform construction work on certain projects awarded by a public utility; requiring, with certain exceptions, a contractor or subcontractor who is awarded a contract for construction work on certain projects by a public utility to comply with prevailing wage provisions applicable to public works when the construction work does not qualify as a public work; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law sets forth general provisions applicable to public works, including provisions requiring, with certain exceptions, the payment of prevailing wages for public works projects. (NRS 338.013-338.090) Section 2 of this bill makes certain declarations of legislative intent relating to the payment of prevailing wages to workers employed by a contractor or subcontractor to perform construction work on a significant operational or capital requirement project awarded by a public utility. Section 3 of this bill requires, with certain exceptions, a contractor or subcontractor who is awarded a contract for construction work on a significant operational or capital requirement project by a public utility to comply with prevailing wage provisions applicable to public works when the construction work does not qualify as a public work. Section 3 also defines electric utility, public utility and significant operational or capital requirement project for the purposes of that section.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. Chapter 338 of NRS is hereby amended by adding thereto the provisions set forth as sections 2 and 3 of this act.
Sec. 2. The Legislature hereby finds and declares that the payment of prevailing wages to workers employed by a contractor or subcontractor to perform construction work on a significant operational or capital requirement project awarded by a public utility is essential to:
1. Increasing the number of skilled construction workers in this State;
2. Ensuring the highest quality of work on such projects;
3. Ensuring the safe and timely completion of such projects;
4. Ensuring that the residents of this State have access to safe, reliable and affordable energy resources; and
5. Enhancing public safety.
Sec. 3. 1. Except as otherwise provided in subsection 2, the provisions of NRS 338.013 to 338.090, inclusive, apply to any contract for construction work awarded by a public utility to a contractor or subcontractor on a significant operational or capital requirement project when the construction work does not qualify as a public work as defined in NRS 338.010.
κ2025 Statutes of Nevada, Page 2619 (CHAPTER 392, SB 443)κ
subcontractor on a significant operational or capital requirement project when the construction work does not qualify as a public work as defined in NRS 338.010.
2. The provisions of subsection 1 do not apply to a contract awarded by an electric utility where the primary construction work will be performed by a contractor with:
(a) A collective bargaining agreement;
(b) A project labor agreement; or
(c) A worksite agreement that provides for the construction of a significant operational or capital requirement project, or for the maintenance of, or other ongoing work to be performed upon completion of, a significant operational or capital requirement project.
3. As used in this section:
(a) Electric utility has the meaning ascribed to it in NRS 704.7571.
(b) Public utility means a utility that purchases natural gas for retail or an electric utility.
(c) Significant operational or capital requirement project means:
(1) The replacement of a natural gas pipeline approved in a plan submitted pursuant to NRS 704.991; or
(2) The construction of a new generation electric utility facility of not less than 50 megawatts and that is approved in a plan submitted pursuant to NRS 704.741.
Sec. 4. The provisions of section 3 of this act do not apply to any contract entered into before October 1, 2025.
________
Senate Bill No. 455Committee on Finance
CHAPTER 393
[Approved: June 6, 2025]
AN ACT relating to the Department of Motor Vehicles; renaming the Division of Field Services and the Administrative Services Division of the Department of Motor Vehicles; eliminating the Division of Central Services and Records of the Department; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law creates the Department of Motor Vehicles and provides that the Department consists of several divisions, including a Division of Field Services, a Division of Central Services and Records and an Administrative Services Division. (NRS 481.019, 481.0473) Section 1 of this bill: (1) renames the Division of Field Services to be the Division of Customer Services; (2) eliminates the Division of Central Services and Records; and (3) renames the Administrative Services Division to be the Fiscal Operations Division.
Section 2 of this bill makes a conforming change to reflect the name change of the Administrative Services Division.
κ2025 Statutes of Nevada, Page 2620 (CHAPTER 393, SB 455)κ
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. NRS 481.0473 is hereby amended to read as follows:
481.0473 The Department consists of:
1. A Division of the Office of the Director;
2. A Division of Compliance Enforcement;
3. A Division of [Field] Customer Services;
4. [A Division of Central Services and Records;
5.] A Division of Research and Project Management;
[6.] 5. A Division of Information Technology;
[7. An Administrative Services]
6. A Fiscal Operations Division; and
[8.] 7. A Motor Carrier Division.
Sec. 2. NRS 481.0475 is hereby amended to read as follows:
481.0475 The [Administrative Services] Fiscal Operations Division shall furnish fiscal, accounting and other administrative services to the Director and the various divisions, and advise and assist the Director and the various divisions in carrying out their functions and responsibilities.
Sec. 3. 1. Any administrative regulations adopted by an officer or an agency whose name has been changed or whose responsibilities have been transferred pursuant to the provisions of this act to another officer or agency remain in force until amended by the officer or agency to which the responsibility for the adoption of the regulations has been transferred.
2. Any contracts or other agreements entered into by an officer or agency whose name has been changed or whose responsibilities have been transferred pursuant to the provisions of this act to another officer or agency are binding upon the officer or agency to which the responsibility for the administration of the provisions of the contract or other agreement has been transferred. Such contracts and other agreements may be enforced by the officer or agency to which the responsibility for the enforcement of the provisions of the contract or other agreement has been transferred.
3. Any action taken by an officer or agency whose name has been changed or whose responsibilities have been transferred pursuant to the provisions of this act to another officer or agency remains in effect as if taken by the officer or agency to which the responsibility for the enforcement of such actions has been transferred.
Sec. 4. This act becomes effective on July 1, 2025.
________
κ2025 Statutes of Nevada, Page 2621κ
Senate Bill No. 454Committee on Finance
CHAPTER 394
[Approved: June 6, 2025]
AN ACT relating to the State Highway Fund; extending the temporary increase of the maximum amount of certain proceeds deposited in the State Highway Fund that may be used for the costs of administering the collection of those proceeds; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Under existing law, all the proceeds from the imposition of any license or registration fee and other charges regarding the operation of a motor vehicle on any public highway, road or street in Nevada, except for the costs of administering the collection of those proceeds, are required to be deposited in the State Highway Fund and used exclusively for the construction, maintenance and repair of the States public highways. (Nev. Const. Art. 9, § 5; NRS 408.235) The maximum amount of such proceeds that may be used for the costs of administration was temporarily increased from 22 percent to 27 percent for the period commencing on July 1, 2021, and ending on June 30, 2026. (NRS 408.235) This bill extends the temporary increase to June 30, 2027.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. Section 5 of chapter 336, Statutes of Nevada 2021, at page 1998, is hereby amended to read as follows:
Sec. 5. 1. This section and sections 1 to 4, inclusive, and 4.7 of this act become effective upon passage and approval.
2. Section 4.5 of this act becomes effective on July 1, 2021, and expires by limitation on June 30, [2026.] 2027.
Sec. 2. This act becomes effective on July 1, 2025.
________
κ2025 Statutes of Nevada, Page 2622κ
Senate Bill No. 298Committee on Government Affairs
CHAPTER 395
[Approved: June 9, 2025]
AN ACT relating to peace officers; revising the definition of punitive action as the term relates to certain peace officers; prohibiting a law enforcement agency from denying an increase in seniority or compensation to a peace officer under certain circumstances; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law: (1) prohibits a law enforcement agency from taking certain types of punitive action against a peace officer; and (2) provides certain protections to peace officers when punitive action may be imposed against them. (NRS 289.020, 289.057, 289.060, 289.080, 289.085, 289.092, 289.820, 289.824) Existing law defines punitive action as any action which may lead to dismissal, demotion, suspension, reduction in salary, written reprimand or transfer of a peace officer for purposes of punishment. (NRS 289.010) Section 2 of this bill revises the definition to include any action which may lead to denial of an increase, either in seniority or compensation, for purposes of punishment.
Existing law authorizes a law enforcement agency to conduct an investigation of a peace officer in response to a complaint or allegation that the peace officer has engaged in activities which could result in punitive action and, subject to certain exceptions, including any investigation which concerns alleged criminal activities, prohibits a law enforcement agency from suspending a peace officer without pay during or pursuant to an investigation until all investigations relating to the matter have concluded. (NRS 289.057, 289.090) Section 3 of this bill adds to this prohibition the denial of an increase in seniority or compensation, subject to certain exceptions.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. (Deleted by amendment.)
Sec. 2. NRS 289.010 is hereby amended to read as follows:
289.010 As used in this chapter, unless the context otherwise requires:
1. Administrative file means any file of a peace officer containing information, comments or documents about the peace officer. The term does not include any file relating to an investigation conducted pursuant to NRS 289.057 or a criminal investigation of a peace officer.
2. Adult use of cannabis has the meaning ascribed to it in NRS 678A.075.
3. Law enforcement agency means any agency, office, bureau, department, unit or division created by any statute, ordinance or rule which:
(a) Has a duty to enforce the law; and
(b) Employs any person upon whom some or all of the powers of a peace officer are conferred pursuant to NRS 289.150 to 289.360, inclusive.
4. Medical use of cannabis has the meaning ascribed to it in NRS 678A.215.
κ2025 Statutes of Nevada, Page 2623 (CHAPTER 395, SB 298)κ
5. Peace officer means any person upon whom some or all of the powers of a peace officer are conferred pursuant to NRS 289.150 to 289.360, inclusive.
6. Punitive action means any action which may lead to dismissal, demotion, suspension, reduction in salary, written reprimand , [or] transfer or denial of an increase, either in seniority or compensation, of a peace officer for purposes of punishment.
7. Screening test means a test of a persons blood, urine, hair or saliva to detect the general presence of a controlled substance or other drug.
Sec. 3. NRS 289.057 is hereby amended to read as follows:
289.057 1. Except as otherwise provided in this subsection, an investigation of a peace officer may be conducted in response to a complaint or allegation that the peace officer has engaged in activities which could result in punitive action. Any such investigation of a peace officer must be commenced by the law enforcement agency within a reasonable period of time after the date of the filing of the complaint or allegation with the law enforcement agency. A law enforcement agency shall not conduct an investigation pursuant to this subsection if the complaint or allegation is filed with the law enforcement agency more than 5 years after the activities of the peace officer occurred.
2. Except as otherwise provided in a collective bargaining agreement, a law enforcement agency shall not [suspend] :
(a) Suspend a peace officer without pay ; or
(b) Deny an increase in seniority or compensation, unless an investigation may lead to dismissal or demotion,
Κ during or pursuant to an investigation conducted pursuant to this section until all investigations relating to the matter have concluded.
3. After the conclusion of the investigation:
(a) If the investigation causes a law enforcement agency to impose punitive action against the peace officer who was the subject of the investigation and the peace officer has received notice of the imposition of the punitive action, the peace officer or a representative authorized by the peace officer may, except as otherwise prohibited by federal or state law, review any administrative or investigative file maintained by the law enforcement agency relating to the investigation, including any recordings, notes, transcripts of interviews and documents.
(b) If, pursuant to a policy of a law enforcement agency or a labor agreement, the record of the investigation or the imposition of punitive action is subject to being removed from any administrative file relating to the peace officer maintained by the law enforcement agency, the law enforcement agency shall not, except as otherwise required by federal or state law, keep or make a record of the investigation or the imposition of punitive action after the record is required to be removed from the administrative file.
4. A law enforcement agency may reassign a peace officer temporarily or permanently without his or her consent during or pursuant to an investigation conducted pursuant to this section or when there is a hearing relating to such an investigation that is pending.
________
κ2025 Statutes of Nevada, Page 2624κ
Assembly Bill No. 93Assemblymembers Hibbetts, Yurek, DSilva and Monroe-Moreno
Joint Sponsor: Senator Doρate
CHAPTER 396
[Approved: June 9, 2025]
AN ACT relating to public employees; revising the definition of police officer for the purposes of certain benefits and exemptions; making an appropriation; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law defines police officer to include various law enforcement officers of this State for the purposes of certain provisions relating to eligibility for benefits under the Nevada Occupational Diseases Act. (NRS 617.135)
Section 1 of this bill expands the definition of police officer to include: (1) a school police officer employed or appointed by the board of trustees of a school district; (2) a juvenile probation officer; (3) a bailiff or deputy marshal of a municipal court; (4) a marshal or deputy marshal of a city or town; and (5) all category I, II and III peace officers. Furthermore, because various other provisions of the Nevada Revised Statutes reference police officer as that term is defined in the Act, this bill makes applicable to all category I, II and III peace officers, school police officers employed or appointed by the board of trustees of a school district, juvenile probation officers, bailiffs and deputy marshals of municipal courts and marshals and deputy marshals of cities or towns: (1) industrial insurance coverage for police officers; (2) exemption from service as grand or trial jurors; (3) compensation for police officers with temporary disabilities; and (4) eligibility for certain programs of group insurance or other medical or hospital service for the surviving spouse or any surviving child of a police officer or firefighter. (NRS 6.020, 281.153, 287.021, 287.0477; chapters 616A-616D of NRS)
Section 1.5 of this bill makes an appropriation to the Department of Public Safety for the cost of annual physicals for the Chief Parole and Probation Officer of the Division of Parole and Probation of the Department and the police officers of the Capitol Police Division of the Department.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. NRS 617.135 is hereby amended to read as follows:
617.135 Police officer includes:
1. A sheriff, deputy sheriff, officer of a metropolitan police department or city police officer;
2. A chief, inspector, supervisor, commercial officer or trooper of the Nevada Highway Patrol Division of the Department of Public Safety;
3. A chief, investigator or agent of the Investigation Division of the Department of Public Safety;
4. A chief, supervisor, investigator or training officer of the Training Division of the Department of Public Safety;
5. A chief or investigator of an office of the Department of Public Safety that conducts internal investigations of employees of the Department of Public Safety or investigates other issues relating to the professional responsibility of those employees;
κ2025 Statutes of Nevada, Page 2625 (CHAPTER 396, AB 93)κ
6. A chief or investigator of the Department of Public Safety whose duties include, without limitation:
(a) The execution, administration or enforcement of the provisions of chapter 179A of NRS; and
(b) The provision of technology support services to the Director and the divisions of the Department of Public Safety;
7. An officer or investigator of the Section for the Control of Emissions From Vehicles and the Enforcement of Matters Related to the Use of Special Fuel of the Department of Motor Vehicles;
8. An investigator of the Division of Compliance Enforcement of the Department of Motor Vehicles;
9. A school police officer employed or appointed by the board of trustees of a school district pursuant to NRS 391.281;
10. A member of the police department of the Nevada System of Higher Education;
[10.] 11. A:
(a) Uniformed employee of; or
(b) Forensic specialist employed by,
Κ the Department of Corrections whose position requires regular and frequent contact with the offenders imprisoned and subjects the employee to recall in emergencies;
[11.] 12. A juvenile probation officer;
13. A parole and probation officer of the Division of Parole and Probation of the Department of Public Safety;
[12.] 14. A forensic specialist or correctional officer employed by the Division of Public and Behavioral Health of the Department of Health and Human Services at facilities for mentally disordered offenders;
[13.] 15. The State Fire Marshal and his or her assistant and deputies;
[14.] 16. A game warden of the Department of Wildlife who has the powers of a peace officer pursuant to NRS 289.280;
[15.] 17. A ranger or employee of the Division of State Parks of the State Department of Conservation and Natural Resources who has the powers of a peace officer pursuant to NRS 289.260;
[16.] 18. A bailiff or a deputy marshal of the district court , municipal court or justice court whose duties require him or her to carry a weapon and to make arrests; [and
17.] 19. An agricultural police officer appointed by the Director of the State Department of Agriculture pursuant to NRS 561.225 who has the powers of a peace officer pursuant to NRS 289.290 [.] ;
20. A marshal or deputy marshal of a city or town; and
21. Any category I peace officer as defined in NRS 289.460, category II peace officer as defined in NRS 289.470 and category III peace officer as defined in NRS 289.480 who is not otherwise included in subsections 1 to 20, inclusive.
Sec. 1.5. 1. There is hereby appropriated from the State General Fund to the Department of Public Safety for the cost of annual physicals for the Chief Parole and Probation Officer of the Division of Parole and Probation of the Department of Public Safety and the police officers of the Capitol Police Division of the Department of Public Safety the following sums:
For the Fiscal Year 2025-2026......................................................... $3,235
For the Fiscal Year 2026-2027......................................................... $8,129
κ2025 Statutes of Nevada, Page 2626 (CHAPTER 396, AB 93)κ
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 2. The provisions of NRS 354.599 do not apply to any additional expenses of a local government that are related to the provisions of this act.
Sec. 3. 1. This section and section 1.5 of this act become effective on July 1, 2025.
2. Sections 1 and 2 of this act become effective on July 1, 2026.
________
Assembly Bill No. 543Committee on Ways and Means
CHAPTER 397
[Approved: June 9, 2025]
AN ACT relating to state property; revising certain provisions relating to the lease of certain state real property for grazing or pasturage rights and the sale of agricultural products produced on such real property; requiring certain money received for the grazing of livestock and the sale of agricultural products be deposited in the Account for Maintenance of State Parks within the Division of State Parks of the State Department of Conservation and Natural Resources; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Under existing law, the Administrator of the Division of State Lands of the State Department of Conservation and Natural Resources is authorized to lease certain land owned by the State of Nevada for certain purposes, including for the purpose of grazing livestock, and sets forth the manner in which the fee for the lease of land for the grazing of livestock is determined. (NRS 322.010, 322.075) Section 3.5 of this bill repeals this provision. Section 2.5 of this bill authorizes the Administrator of the Division of State Parks of the Department, for any real property owned by the State and assigned to the Division for administration, to: (1) lease grazing and pasturage rights in and to the real property; or (2) sell agricultural products produced on the real property. Section 2.5: (1) requires, with certain exceptions, the Administrator to advertise the lease or sale for bids; and (2) authorizes the Administrator to negotiate the lease or sale under certain circumstances after advertising for bids. Sections 1.3 and 1.7 of this bill provide that this authority granted to the Administrator of the Division of State Parks is an exception to the authority granted to the Administrator of the Division of State Lands to lease state lands.
κ2025 Statutes of Nevada, Page 2627 (CHAPTER 397, AB 543)κ
Existing law creates the Account for Maintenance of State Parks within the Division of State Parks and requires that money deposited in the Account must only be used to repair and maintain state parks, monuments and recreational areas. (NRS 407.0762) Sections 2.5 and 3 of this bill require that any money collected for the lease of real property owned by the State and assigned to the Division for administration for grazing or pasturage or the sale of agricultural products produced on such real property must be deposited in the Account and used in the area or region in which the money was collected.
Section 2 of this bill makes conforming changes to internal references.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. (Deleted by amendment.)
Sec. 1.3. NRS 322.010 is hereby amended to read as follows:
322.010 Except as provided in NRS 334.070 and 504.147 [,] and section 2.5 of this act, the Administrator of the Division of State Lands of the State Department of Conservation and Natural Resources, as ex officio State Land Registrar, may lease any land except contract land now or hereafter owned by the State of Nevada, or which may hereafter be granted to it by the United States of America, upon terms as provided in NRS 322.020, 322.030 and 322.040.
Sec. 1.7. NRS 322.050 is hereby amended to read as follows:
322.050 Except as otherwise provided in NRS 334.070 and 504.147 [,] and section 2.5 of this act, the Administrator of the Division of State Lands of the State Department of Conservation and Natural Resources, as ex officio State Land Registrar, may, in addition to the authority to lease provided in NRS 322.010, 322.020 and 322.030, lease or grant easements over or upon any land now or hereafter owned by the State of Nevada, or which may hereafter be granted it by the United States of America, upon terms as provided in NRS 322.060. Leases or grants of easements over or upon contract lands may be made only with the consent of the contracting party, who must be paid all money received from any such lease or grant. Leases or grants of easements over or upon any lands which are used by any office, department, board, commission, bureau, institution or other agency of the State of Nevada may be granted only with the concurrence of the agency.
Sec. 2. NRS 218E.405 is hereby amended to read as follows:
218E.405 1. Except as otherwise provided in subsection 2, the Interim Finance Committee may exercise the powers conferred upon it by law only when the Legislature is not in a regular or special session.
2. During a regular or special session, the Interim Finance Committee may also perform the duties imposed on it by NRS 228.1111, subsection 5 of NRS 284.115, NRS 285.070, subsection 2 of NRS 321.335, NRS 322.007, subsection 2 of NRS 323.020, NRS 323.050, subsection 1 of NRS 323.100, subsection 3 of NRS 341.126, NRS 341.142, paragraph (f) of subsection 1 of NRS 341.145, subsection 3 of NRS 349.073, NRS 353.220, 353.224, 353.2705 to 353.2771, inclusive, 353.288, 353.335, 353.3375, 353C.224, 353C.226, paragraph (b) of subsection [4] 6 of NRS 407.0762, NRS 428.375, 433.732, 439.4905, 439.620, 439.630, 445B.830, subsection 1 of NRS 445C.320 and NRS 538.650. In performing those duties, the Senate Standing Committee on Finance and the Assembly Standing Committee on Ways and Means may meet separately and transmit the results of their respective votes to the Chair of the Interim Finance Committee to determine the action of the Interim Finance Committee as a whole.
κ2025 Statutes of Nevada, Page 2628 (CHAPTER 397, AB 543)κ
Means may meet separately and transmit the results of their respective votes to the Chair of the Interim Finance Committee to determine the action of the Interim Finance Committee as a whole.
3. The Chair of the Interim Finance Committee may appoint a subcommittee consisting of six members of the Committee to review and make recommendations to the Committee on matters of the State Public Works Division of the Department of Administration that require prior approval of the Interim Finance Committee pursuant to subsection 3 of NRS 341.126, NRS 341.142 and paragraph (f) of subsection 1 of NRS 341.145. If the Chair appoints such a subcommittee:
(a) The Chair shall designate one of the members of the subcommittee to serve as the chair of the subcommittee;
(b) The subcommittee shall meet throughout the year at the times and places specified by the call of the chair of the subcommittee; and
(c) The Director or the Directors designee shall act as the nonvoting recording secretary of the subcommittee.
Sec. 2.5. Chapter 407 of NRS is hereby amended by adding thereto a new section to read as follows:
1. Except as otherwise provided in subsection 2, for any real property owned by the State and assigned to the Division for administration, the Administrator may, in accordance with the requirements of this section:
(a) Lease, for a term of not more than 5 years, grazing and pasturage rights in and to the real property; or
(b) Sell any agricultural product of any kind, including, without limitation, any crop, that is produced on the real property.
2. The Administrator may not lease rights in or to real property or sell agricultural products pursuant to subsection 1 if such a lease or sale would:
(a) Interfere with the use of the real property for the outstanding scenic, recreational, scientific or historical importance of such real property; or
(b) Conflict with the provisions of any special act relating to a particular area.
3. Except as otherwise provided in subsection 6, if the Administrator intends to carry out a lease or sale pursuant to subsection 1:
(a) The Administrator shall advertise for bids and reserve in such advertising the right to reject any or all bids received; and
(b) If the Administrator finds that the highest or best bid received pursuant to paragraph (a) is less than the amount that should be paid, the Administrator:
(1) May reject all bids and instead negotiate with any interested person for such lease or sale; and
(2) Shall not accept any price negotiated pursuant to subparagraph (1) if the price is less than the highest bid received by the Administrator for the same lease or sale.
4. If the deed to any real property assigned to the Division for administration contains a covenant or provision giving to the grantor an option to meet the highest bid for any lease offered by the Administrator for grazing or pasturage rights in or to such real property or the sale of agricultural products produced on such real property, the Administrator shall comply with the terms of the covenant or provision in the deed.
κ2025 Statutes of Nevada, Page 2629 (CHAPTER 397, AB 543)κ
5. The Administrator may enter into a lease with or sale to a state agency without advertising for bids if the rent agreed to be paid by the state agency for the lease or the sale price agreed to be paid for any agricultural products to be sold is, in the opinion of the Administrator, equal to the amount that would be obtained by the Administrator by advertising for bids.
6. Any money collected pursuant to this section for the lease of the grazing or pasturage rights in or to real property assigned to the Division for administration or the sale of agricultural products produced on such real property must be deposited in the Account for the Maintenance of State Parks within the Division created by NRS 407.0762. The money deposited in the Account pursuant to this section must be accounted for separately for each area assigned to the Division for administration, or if the Administrator has organized the areas into regions pursuant to NRS 407.065, for each region and must only be used in the area or region in which the money was collected.
Sec. 3. NRS 407.0762 is hereby amended to read as follows:
407.0762 1. The Account for Maintenance of State Parks within the Division of State Parks is hereby created in the State General Fund. Except as otherwise provided in NRS 407.0765, any amount of fees collected pursuant to paragraphs (d), (e) and (f) of subsection 1 or subsection 2 of NRS 407.065 in a calendar year, which is in excess of the amounts authorized for expenditure from that revenue source in the Divisions budget for the fiscal year beginning in that calendar year, must be deposited in the Account.
2. Any amount of the money collected pursuant to section 2.5 of this act must be deposited in the Account.
3. The interest and income earned on the money in the Account, after deducting any applicable charges, must be credited to the Account.
[2.] 4. The money in the Account does not lapse to the State General Fund at the end of any fiscal year.
[3.] 5. The money deposited in the Account pursuant to [subsection] subsections 1 and 2 must only be used to repair and maintain state parks, monuments and recreational areas.
[4.] 6. Before the Administrator may expend money pursuant to subsection [3:] 5:
(a) For emergency repairs and projects with a cost of less than $25,000, the Administrator must first receive the approval of the Director.
(b) For projects with a cost of $25,000 or more, other than emergency repairs, the Administrator must first receive the approval of the Director and of the Interim Finance Committee.
Sec. 3.5. NRS 322.075 is hereby repealed.
Sec. 4. This act becomes effective upon passage and approval.
________
κ2025 Statutes of Nevada, Page 2630κ
Assembly Bill No. 558Committee on Ways and Means
CHAPTER 398
[Approved: June 9, 2025]
AN ACT making appropriations to restore the balances in the Stale Claims Account, the Emergency Account and the Contingency Account; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. There is hereby appropriated from the State General Fund to restore the balance in the Stale Claims Account created by NRS 353.097 the sum of $4,616,752.
Sec. 2. There is hereby appropriated from the State General Fund to restore the balance in the Emergency Account created by NRS 353.263 the sum of $17,000.
Sec. 3. There is hereby appropriated from the State General Fund to restore the balance in the Contingency Account created by NRS 353.266 the sum of $25,730,726.
Sec. 4. This act becomes effective upon passage and approval.
________
Assembly Bill No. 567Committee on Ways and Means
CHAPTER 399
[Approved: June 9, 2025]
AN ACT making an appropriation to the Nevada System of Higher Education for safety and security equipment and enhancements; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $11,000,000 for safety and security equipment and enhancements.
2. Any remaining balance of the appropriation made by subsection 1 must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2027.
κ2025 Statutes of Nevada, Page 2631 (CHAPTER 399, AB 567)κ
portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2027.
Sec. 2. This act becomes effective on July 1, 2025.
________
Assembly Bill No. 568Committee on Ways and Means
CHAPTER 400
[Approved: June 9, 2025]
AN ACT making appropriations to the Nevada System of Higher Education for operational and instructional expenses; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $22,441,996 for operational and instructional expenses of the University of Nevada, Reno.
Sec. 2. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $23,580,944 for operational and instructional expenses of the University of Nevada, Las Vegas.
Sec. 3. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $113,154 for operational and instructional expenses of the Agricultural Experiment Station.
Sec. 4. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $277,476 for the Cooperative Extension Service budget account for operational and instructional expenses of the Cooperative Extension Service.
Sec. 5. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $867,708 for the UNLV Law School budget account for operational and instructional expenses of the William S. Boyd School of Law at the University of Nevada, Las Vegas.
Sec. 6. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $2,124,972 for the UNLV Dental School budget account for operational and instructional expenses of the School of Dental Medicine at the University of Nevada, Las Vegas.
Sec. 7. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $1,072,226 for operational and instructional expenses of the Nevada State University.
κ2025 Statutes of Nevada, Page 2632 (CHAPTER 400, AB 568)κ
Sec. 8. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $5,332,632 for operational and instructional expenses of the College of Southern Nevada.
Sec. 9. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $408,738 for operational and instructional expenses of Great Basin College.
Sec. 10. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $221,370 for operational and instructional expenses of Western Nevada College.
Sec. 11. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $1,043,258 for operational and instructional expenses of Truckee Meadows Community College.
Sec. 12. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $2,976 for the Prison Education Program budget account for operational and instructional expenses of the Prison Education Program.
Sec. 13. Any remaining balance of the appropriations made by sections 1 to 12, inclusive, of this act must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2027.
Sec. 13.5. 1. The Legislature hereby declares its intent that the appropriations made pursuant to this act are one-time grants of money intended to sustain the operations of the Nevada System of Higher Education and the institutions named herein for the duration of the 2025-2027 biennium.
2. The Legislature hereby urges the Nevada System of Higher Education, during the 2025-2027 biennium, to seek additional sources of revenue to ensure that the System is able to pay its operational and instructional expenses in future biennia.
Sec. 14. This act becomes effective on July 1, 2025.
________
κ2025 Statutes of Nevada, Page 2633κ
Assembly Bill No. 570Committee on Ways and Means
CHAPTER 401
[Approved: June 9, 2025]
AN ACT making appropriations to the Department of Corrections for various purposes relating to computer hardware and software, vehicles, training, furniture and other equipment; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. There is hereby appropriated from the State General Fund to the Department of Corrections for the Prison Medical Care budget account for the replacement of medical and dental equipment the following sums:
For the Fiscal Year 2025-2026.................................................... $324,664
For the Fiscal Year 2026-2027....................................................... $39,939
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 2. 1. There is hereby appropriated from the State General Fund to the Department of Corrections for the Office of the Director budget account for the replacement of vehicles the following sums:
For the Fiscal Year 2025-2026................................................. $5,154,386
For the Fiscal Year 2026-2027....................................................... $43,446
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 3. 1. There is hereby appropriated from the State General Fund to the Department of Corrections for the Office of the Director budget account for the replacement of equipment related to information technology networks and systems the following sums:
For the Fiscal Year 2025-2026.................................................... $161,526
For the Fiscal Year 2026-2027.................................................... $133,153
κ2025 Statutes of Nevada, Page 2634 (CHAPTER 401, AB 570)κ
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 4. (Deleted by amendment.)
Sec. 5. There is hereby appropriated from the State General Fund to the Department of Corrections for the Office of the Director budget account the sum of $225,750 for the replacement of refrigerator trucks.
Sec. 6. There is hereby appropriated from the State General Fund to the Department of Corrections for the Office of the Director budget account the sum of $123,308 for the replacement of office chairs and furniture for an executive office.
Sec. 7. There is hereby appropriated from the State General Fund to the Department of Corrections for the Office of the Director budget account the sum of $2,861,657 for the replacement of passenger buses and purchase of transport vans.
Sec. 8. There is hereby appropriated from the State General Fund to the Department of Corrections for the Office of the Director budget account the sum of $103,347 for the replacement of computer hardware and associated software.
Sec. 9. There is hereby appropriated from the State General Fund to the Department of Corrections for the Office of the Director budget account the sum of $1,313,733 for equipment and training for correctional officers.
Sec. 10. There is hereby appropriated from the State General Fund to the Department of Corrections for the Correctional Programs budget account the sum of $71,604 for the replacement of office chairs.
Sec. 11. Any remaining balance of an appropriation made by sections 5 to 10, inclusive, of this act must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2027.
Sec. 12. 1. There is hereby appropriated from the State General Fund to the Department of Corrections for the Office of the Director budget account the sum of $341,630 for the replacement of hardware, software and equipment for information technology servers.
2. Any remaining balance of the appropriation made by subsection 1 must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2027.
κ2025 Statutes of Nevada, Page 2635 (CHAPTER 401, AB 570)κ
purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2027.
Sec. 13. 1. This section and sections 1 to 11, inclusive, of this act become effective on July 1, 2025.
2. Section 12 of this act becomes effective on July 1, 2026.
________
Assembly Bill No. 571Committee on Ways and Means
CHAPTER 402
[Approved: June 9, 2025]
AN ACT making appropriations to the Department of Education for certain surveys, offsets to decreases in federal grant funding, professional development costs, information technology projects, programs, grants and studies; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. There is hereby appropriated from the State General Fund to the Department of Education for the Educator Effectiveness budget account for administration of the statewide surveys of educators on exit or transfer and regarding working conditions the following sums:
For the Fiscal Year 2025-2026................................................. $1,100,000
For the Fiscal Year 2026-2027.................................................... $900,000
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 2. 1. There is hereby appropriated from the State General Fund to the Department of Education for the Educator Effectiveness budget account for transfer to the State Public Charter School Authority created by NRS 388A.150 to offset a decrease in federal grant funding the following sums:
For the Fiscal Year 2025-2026................................................. $1,307,938
For the Fiscal Year 2026-2027................................................. $1,307,938
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
κ2025 Statutes of Nevada, Page 2636 (CHAPTER 402, AB 571)κ
appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 3. 1. There is hereby appropriated from the State General Fund to the Department of Education for the Standards and Instructional Support budget account for additional software licenses for the Canvas learning management system the following sums:
For the Fiscal Year 2025-2026.................................................... $560,370
For the Fiscal Year 2026-2027.................................................... $495,000
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 4. 1. There is hereby appropriated from the State General Fund to the Department of Education for the Safe and Respectful Learning budget account for development of custom reports from the student information management system the following sums:
For the Fiscal Year 2025-2026....................................................... $50,000
For the Fiscal Year 2026-2027....................................................... $50,000
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 5. 1. There is hereby appropriated from the State General Fund to the Department of Education for the Safe and Respectful Learning budget account for the implementation of the multi-tiered system of supports framework and related training the following sums:
For the Fiscal Year 2025-2026................................................. $3,000,000
For the Fiscal Year 2026-2027................................................. $3,000,000
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
κ2025 Statutes of Nevada, Page 2637 (CHAPTER 402, AB 571)κ
appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 6. There is hereby appropriated from the State General Fund to the Department of Education the sum of $35,000 for the Office of the Superintendent budget account for a study of the effectiveness of the Pupil-Centered Funding Plan.
Sec. 7. There is hereby appropriated from the State General Fund to the Department of Education the sum of $35,200 for the Standards and Instructional Support budget account for the State Seal of Biliteracy Program established pursuant to NRS 388.591.
Sec. 8. There is hereby appropriated from the State General Fund to the Department of Education the sum of $10,843 for the Standards and Instructional Support budget account for the State Seal of STEM Program established pursuant to NRS 388.594 and the State Seal of STEAM Program established pursuant to NRS 388.597.
Sec. 9. There is hereby appropriated from the State General Fund to the Department of Education the sum of $12,765 for the Standards and Instructional Support budget account for the State Seal of Civics Program established pursuant to NRS 388.5933 and the civic excellence designation program set forth in NRS 388.5937.
Sec. 10. There is hereby appropriated from the State General Fund to the Department of Education the sum of $218,948 for the Assessments and Accountability budget account for the development and implementation of a new Nevada School Performance Framework.
Sec. 11. There is hereby appropriated from the State General Fund to the Department of Education the sum of $348,000 for the District Support Services budget account for grants to local education agencies for financial and operational efficiency.
Sec. 12. There is hereby appropriated from the State General Fund to the Department of Education the sum of $30,000 for the District Support Services budget account for the costs of a contract to review and analyze the programs and policies of the Department.
Sec. 13. There is hereby appropriated from the State General Fund to the Department of Education the sum of $500,000 for the Educator Effectiveness budget account for the costs of a contract to conduct the gap analysis study described in subsection 1 of NRS 385.920.
Sec. 14. Any remaining balance of the appropriations made by sections 6 to 13, inclusive, of this act must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the fund from which it was appropriated on or before September 17, 2027.
Sec. 15. This act becomes effective on July 1, 2025.
________
κ2025 Statutes of Nevada, Page 2638κ
Assembly Bill No. 575Committee on Ways and Means
CHAPTER 403
[Approved: June 9, 2025]
AN ACT making appropriations to the Department of Public Safety for the replacement of computer hardware, equipment and associated software, vehicles and furniture and for information technology projects and a recruiting campaign; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. There is hereby appropriated from the State Highway Fund to the Investigation Division of the Department of Public Safety the sum of $1,886 for the replacement of computer hardware and associated software.
Sec. 2. There is hereby appropriated from the State General Fund to the Investigation Division of the Department of Public Safety the sum of $9,742 for the replacement of desk chairs.
Sec. 3. There is hereby appropriated from the State Highway Fund to the Investigation Division of the Department of Public Safety the sum of $2,598 for the replacement of desk chairs.
Sec. 4. There is hereby appropriated from the State General Fund to the Central Repository for Nevada Records of Criminal History within the Records, Communications and Compliance Division of the Department of Public Safety the sum of $866,832 for the costs of consulting fees and change management services for the Nevada Criminal Justice Information System.
Sec. 5. There is hereby appropriated from the State General Fund to the Central Repository for Nevada Records of Criminal History within the Records, Communications and Compliance Division of the Department of Public Safety the sum of $2,022,607 for the continuation of the modernization program for the Nevada Criminal Justice Information System.
Sec. 6. There is hereby appropriated from the State General Fund to the Department of Public Safety the sum of $840,926 for a recruitment campaign.
Sec. 6.3. There is hereby appropriated from the State General Fund to the Department of Public Safety the sum of $462,748 for the replacement of computer network equipment and associated software.
Sec. 6.7. There is hereby appropriated from the State Highway Fund to the Department of Public Safety the sum of $283,620 for the replacement of computer network equipment and associated software.
Sec. 7. Any remaining balance of an appropriation made by sections 1 to 6.7, inclusive, of this act must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the fund from which it was appropriated on or before September 17, 2027.
κ2025 Statutes of Nevada, Page 2639 (CHAPTER 403, AB 575)κ
subsequently granted or transferred, and must be reverted to the fund from which it was appropriated on or before September 17, 2027.
Sec. 8. 1. There is hereby appropriated from the State General Fund to the Division of Parole and Probation of the Department of Public Safety for the costs of developing a new records management system the following sums:
For the Fiscal Year 2025-2026.................................................... $151,450
For the Fiscal Year 2026-2027.................................................... $151,450
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 9. 1. There is hereby appropriated from the State General Fund to the Division of Parole and Probation of the Department of Public Safety for the replacement of equipment and the renewal of software subscriptions the following sums:
For the Fiscal Year 2025-2026................................................. $1,351,429
For the Fiscal Year 2026-2027......................................................... $2,380
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 10. 1. There is hereby appropriated from the State General Fund to the Investigation Division of the Department of Public Safety for the replacement of vehicles the following sums:
For the Fiscal Year 2025-2026.................................................... $133,339
For the Fiscal Year 2026-2027.................................................... $228,715
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
κ2025 Statutes of Nevada, Page 2640 (CHAPTER 403, AB 575)κ
Sec. 11. 1. There is hereby appropriated from the State Highway Fund to the Investigation Division of the Department of Public Safety for the replacement of vehicles the following sums:
For the Fiscal Year 2025-2026....................................................... $55,893
For the Fiscal Year 2026-2027............................................................ $558
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State Highway Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 12. 1. There is hereby appropriated from the State General Fund to the Investigation Division of the Department of Public Safety for the replacement of computer hardware and associated software the following sums:
For the Fiscal Year 2025-2026....................................................... $50,692
For the Fiscal Year 2026-2027....................................................... $46,920
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 13. 1. There is hereby appropriated from the State General Fund to the Central Repository for Nevada Records of Criminal History within the Records, Communications and Compliance Division of the Department of Public Safety for the costs of additional positions to provide ongoing support for the Nevada Criminal Justice Information System the following sums:
For the Fiscal Year 2025-2026.................................................... $498,943
For the Fiscal Year 2026-2027.................................................... $623,345
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 14. 1. There is hereby appropriated from the State General Fund to the Central Repository for Nevada Records of Criminal History within the Records, Communications and Compliance Division of the Department of Public Safety for the costs of computer programming and related services for the modernization program for the Nevada Criminal Justice Information System the following sums:
κ2025 Statutes of Nevada, Page 2641 (CHAPTER 403, AB 575)κ
Records, Communications and Compliance Division of the Department of Public Safety for the costs of computer programming and related services for the modernization program for the Nevada Criminal Justice Information System the following sums:
For the Fiscal Year 2025-2026................................................. $1,355,000
For the Fiscal Year 2026-2027.................................................... $300,000
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 15. This act becomes effective on July 1, 2025.
________
Assembly Bill No. 581Committee on Ways and Means
CHAPTER 404
[Approved: June 9, 2025]
AN ACT making supplemental appropriations to the Department of Corrections for an unanticipated shortfall related to operating, travel, information services, personnel services, training, transportation, maintenance, utilities and inmate-driven expenses; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $2,929,232 for the Northern Nevada Correctional Center budget account for an unanticipated shortfall related to utilities and personnel expenses. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 2. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $261,455 for the Stewart Conservation Camp budget account for an unanticipated shortfall related to personnel services, utilities and inmate-driven expenses. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 3. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $250,794 for the Pioche Conservation Camp budget account for an unanticipated shortfall related to personnel services, utilities and inmate-driven expenses.
κ2025 Statutes of Nevada, Page 2642 (CHAPTER 404, AB 581)κ
personnel services, utilities and inmate-driven expenses. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 4. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $222,749 for the Northern Nevada Transitional Housing budget account for an unanticipated shortfall related to personnel services, utilities and inmate-driven expenses. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 5. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $876,707 for the Three Lakes Valley Conservation Camp budget account for an unanticipated shortfall related to personnel services, utilities and inmate-driven expenses. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 6. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $5,133,305 for the Southern Desert Correctional Center budget account for an unanticipated shortfall related to personnel services, utilities and inmate-driven expenses. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 7. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $213,574 for the Jean Conservation Camp budget account for an unanticipated shortfall related to personnel services and utilities expenses. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 8. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $3,896,945 for the Ely State Prison budget account for an unanticipated shortfall related to personnel services, utilities and inmate-driven expenses. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 9. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $53,139 for the Carlin Conservation Camp budget account for an unanticipated shortfall related to personnel services, maintenance contracts, utilities and inmate-driven expenses. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 10. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $3,217,122 for the Lovelock Correctional Center budget account for an unanticipated shortfall related to personnel services and inmate-driven expenses. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 11. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $3,164,040 for the Florence McClure Womens Correctional Center budget account for an unanticipated shortfall related to personnel services, utilities and inmate-driven expenses. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 12. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $15,780,715 for the High Desert State Prison budget account for an unanticipated shortfall related to operating, personnel services, utilities and inmate-driven expenses.
κ2025 Statutes of Nevada, Page 2643 (CHAPTER 404, AB 581)κ
State Prison budget account for an unanticipated shortfall related to operating, personnel services, utilities and inmate-driven expenses. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 13. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $6,378,786 for the Prison Medical Care budget account for an unanticipated shortfall related to personnel services, utilities and inmate-driven expenses. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 14. There is hereby appropriated from the State General Fund to the Department of Corrections the sum of $2,363,002 for the Office of the Director budget account for an unanticipated shortfall related to personnel services, operating, in-state travel, information services, training and inmate transportation. This appropriation is supplemental to that made by section 20 of chapter 209, Statutes of Nevada 2023, at page 1241.
Sec. 15. This act becomes effective upon passage and approval.
________
Senate Bill No. 468Committee on Finance
CHAPTER 405
[Approved: June 9, 2025]
AN ACT making an appropriation to the State Public Charter School Authority for the transportation of pupils enrolled in charter schools; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. There is hereby appropriated from the State General Fund to the State Public Charter School Authority the sum of $17,000,000 for the transportation of pupils enrolled in charter schools, including, without limitation, for awards of money to charter schools for the transportation of pupils pursuant to NRS 388A.3936.
2. Any remaining balance of the appropriation made by subsection 1 must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2027.
Sec. 2. This act becomes effective on July 1, 2025.
________
κ2025 Statutes of Nevada, Page 2644κ
Senate Bill No. 473Committee on Finance
CHAPTER 406
[Approved: June 9, 2025]
AN ACT making appropriations to and authorizing the expenditure of money by the Department of Education for the replacement of computer hardware and associated software and office chairs; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. There is hereby appropriated from the State General Fund to the Department of Education for the Educator Effectiveness budget account for the replacement of computer hardware and associated software the following sums:
For the Fiscal Year 2025-2026......................................................... $2,384
For the Fiscal Year 2026-2027......................................................... $4,768
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 2. 1. There is hereby appropriated from the State General Fund to the Department of Education for the Office of the Superintendent budget account for the replacement of computer hardware and associated software the following sums:
For the Fiscal Year 2025-2026....................................................... $13,180
For the Fiscal Year 2026-2027....................................................... $13,180
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
κ2025 Statutes of Nevada, Page 2645 (CHAPTER 406, SB 473)κ
Sec. 3. 1. There is hereby appropriated from the State General Fund to the Department of Education for the Standards and Instructional Support budget account for the replacement of computer hardware and associated software the following sums:
For the Fiscal Year 2025-2026......................................................... $7,152
For the Fiscal Year 2026-2027......................................................... $9,536
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 4. 1. There is hereby appropriated from the State General Fund to the Department of Education for the Assessments and Accountability budget account for the replacement of computer hardware and associated software the following sums:
For the Fiscal Year 2025-2026....................................................... $15,135
For the Fiscal Year 2026-2027......................................................... $2,384
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 5. 1. There is hereby appropriated from the State General Fund to the Department of Education for the Student and School Support budget account for the replacement of computer hardware and associated software the following sums:
For the Fiscal Year 2025-2026......................................................... $7,152
For the Fiscal Year 2026-2027....................................................... $45,296
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 6. (Deleted by amendment.)
κ2025 Statutes of Nevada, Page 2646 (CHAPTER 406, SB 473)κ
Sec. 7. 1. There is hereby appropriated from the State General Fund to the Department of Education for the Data Systems Management budget account for the replacement of computer hardware and associated software the following sums:
For the Fiscal Year 2025-2026....................................................... $11,252
For the Fiscal Year 2026-2027....................................................... $16,075
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 8. 1. There is hereby appropriated from the State General Fund to the Department of Education for the District Support Services budget account for the replacement of computer hardware and associated software the following sums:
For the Fiscal Year 2025-2026....................................................... $21,456
For the Fiscal Year 2026-2027......................................................... $4,768
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 9. 1. There is hereby appropriated from the State General Fund to the Department of Education for the Safe and Respectful Learning budget account for the replacement of computer hardware and associated software the following sums:
For the Fiscal Year 2025-2026......................................................... $7,152
For the Fiscal Year 2026-2027....................................................... $16,688
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
κ2025 Statutes of Nevada, Page 2647 (CHAPTER 406, SB 473)κ
Sec. 10. There is hereby appropriated from the State General Fund to the Department of Education the sum of $2,384 for the Account for Alternative Schools budget account for the replacement of computer hardware and associated software.
Sec. 11. 1. There is hereby appropriated from the State General Fund to the Department of Education the sum of $3,338 for the Continuing Education budget account for the replacement of computer hardware and associated software.
2. Expenditure of $6,198 not appropriated from the State General Fund or the State Highway Fund is hereby authorized during Fiscal Year 2025-2026 and Fiscal Year 2026-2027 by the Department of Education for the same purpose as set forth in subsection 1.
Sec. 12. There is hereby appropriated from the State General Fund to the Department of Education the sum of $2,384 for the Parental Involvement and Family Engagement budget account for the replacement of computer hardware and associated software.
Sec. 13. 1. There is hereby appropriated from the State General Fund to the Department of Education the sum of $9,536 for the Office of Early Learning and Development budget account for the replacement of computer hardware and associated software.
2. Expenditure of the following sums not appropriated from the State General Fund or the State Highway Fund is hereby authorized by the Department of Education for the same purposes as set forth in subsection 1:
For the Fiscal Year 2025-2026......................................................... $9,536
For the Fiscal Year 2026-2027......................................................... $2,384
Sec. 14. There is hereby appropriated from the State General Fund to the Department of Education the sum of $4,768 for the Literacy Programs budget account for the replacement of computer hardware and associated software.
Sec. 15. There is hereby appropriated from the State General Fund to the Department of Education the sum of $4,731 for the Data Systems Management budget account for the replacement of office chairs.
Sec. 16. Any remaining balance of the appropriations made by sections 10 to 16, inclusive, of this act must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the fund from which it was appropriated on or before September 17, 2027.
Sec. 17. 1. This section and sections 1 to 9, inclusive, and 11 to 16, inclusive, of this act become effective on July 1, 2025.
2. Section 10 of this act becomes effective on July 1, 2026.
________
κ2025 Statutes of Nevada, Page 2648κ
Senate Bill No. 475Committee on Finance
CHAPTER 407
[Approved: June 9, 2025]
AN ACT making appropriations to the Division of State Parks of the State Department of Conservation and Natural Resources for the purchase and replacement of vehicles, equipment, computer and information technology equipment and radios and for certain projects; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. There is hereby appropriated from the State General Fund to the Division of State Parks of the State Department of Conservation and Natural Resources for the replacement of computers and information technology equipment and the repair and replacement of radios the following sums:
For the Fiscal Year 2025-2026.................................................... $113,586
For the Fiscal Year 2026-2027.................................................... $122,560
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 2. 1. There is hereby appropriated from the State General Fund to the Division of State Parks of the State Department of Conservation and Natural Resources for improvement and deferred maintenance projects the following sums:
For the Fiscal Year 2025-2026................................................. $2,500,000
For the Fiscal Year 2026-2027................................................. $2,500,000
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
κ2025 Statutes of Nevada, Page 2649 (CHAPTER 407, SB 475)κ
Sec. 3. 1. There is hereby appropriated from the State General Fund to the Division of State Parks of the State Department of Conservation and Natural Resources for the purchase of computer hardware and associated software, furniture, vehicles and law enforcement equipment for new ranger positions the following sums:
For the Fiscal Year 2025-2026.................................................... $517,965
For the Fiscal Year 2026-2027...................................................... $31,987
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 4. There is hereby appropriated from the State General Fund to the Division of State Parks of the State Department of Conservation and Natural Resources the sum of $5,550,554 for the replacement of vehicles.
Sec. 5. There is hereby appropriated from the State General Fund to the Division of State Parks of the State Department of Conservation and Natural Resources the sum of $1,367,377 for the replacement of utility vehicles, excavators and tractors.
Sec. 6. There is hereby appropriated from the State General Fund to the Division of State Parks of the State Department of Conservation and Natural Resources the sum of $24,780 for the replacement of diagnostic automotive equipment.
Sec. 7. There is hereby appropriated from the State General Fund to the Division of State Parks of the State Department of Conservation and Natural Resources the sum of $91,229 for the replacement of mowers and small field equipment.
Sec. 8. Any remaining balance of the appropriations made by sections 4 to 7, inclusive, of this act must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2027.
Sec. 9. This act becomes effective on July 1, 2025.
________
κ2025 Statutes of Nevada, Page 2650κ
Senate Bill No. 478Committee on Finance
CHAPTER 408
[Approved: June 9, 2025]
AN ACT making appropriations and requiring the issuance of certain bonds for costs associated with the Judicial Department of State Government; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between brackets
[omitted
material] is material to be omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. There is hereby appropriated from the State General Fund to the Supreme Court of Nevada the sum of $814,720 for the Administrative Office of the Courts budget account for the costs of upgrading the multicounty integrated justice information system.
2. Any remaining balance of the appropriation made by subsection 1 must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2027.
Sec. 2. 1. There is hereby appropriated from the State General Fund to the Supreme Court of Nevada the sum of $1,413,605 for the Administrative Office of the Courts budget account for the replacement of audiovisual equipment.
2. Any remaining balance of the appropriation made by subsection 1 must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2027.
Sec. 3. 1. There is hereby appropriated from the State General Fund to the Supreme Court of Nevada for the Administrative Office of the Courts budget account for the replacement of computer and other technological equipment the following sums:
For the Fiscal Year 2025-2026.................................................... $294,400
For the Fiscal Year 2026-2027.................................................... $107,040
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
κ2025 Statutes of Nevada, Page 2651 (CHAPTER 408, SB 478)κ
appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 3.5. 1. The State Board of Finance shall issue general obligation bonds of the State of Nevada in the face amount of not more than $9,000,000 in the 2025-2027 biennium, the proceeds of which must be used to acquire the real property described in subsection 3.
2. The State Land Registrar, on behalf of the Department of Administration, may negotiate, enter into and execute an agreement with the owner for the purchase and sale of the real property described in subsection 3.
3. The real property, with its improvements, that the State Land Registrar is authorized to acquire pursuant to subsection 2 is commonly known as the Nevada Supreme Court Building, located at 408 East Clark Avenue in Las Vegas, Nevada, which is Clark County Assessors Parcel Number 139-34-303-002 and which is described by the Clark County Assessor, which description may be further refined through due diligence, as follows:
Lots One (1) through Seven (7), inclusive, in Block Thirty-Nine (39) of Clarks Las Vegas Townsite, as shown by the Map thereof on file in Book 1 Plats, page 37m in the Office of the County Recorder of Clark County, Nevada, being a portion of the North Hald (N 1/2) of the Southwest Quarter (SW 1/4) of Section 34, Township 20 South, Range 61 East, more particularly described as follows:
Commencing at the centerline intersection of Clark Avenue (80 feet wide) and Fourth Street (80 feet wide); thence South 62'15'00" East along the centerline of Clark Avenue, 40.00 feet; thence South 27'45'00" West, departing said centerline, 40.00 feet to the intersection of the Easterly and Southerly Right of Way lines of Fourth Street and Clark Avenue, said point also being the Point of Beginning; thence South 62'15'00" East along the Southerly Right of Way line of Clark Avenue, 140.00 feet; thence South 27'45'00" West departing said Southerly Right of Way, 175.00 feet; thence North 62'15'00" West, 140.00 feet to point on the Easterly Right of Way line of Fourth Street; thence North 27'45'00" East along said Easterly Right of Way line, 170.00 feet to the Point of Beginning.
Excepting therefrom that certain spandrel area dedicated to the City of Las Vegas by document, Book 991206, Instrument 00228 dated December 6, 1999, Clark.
Sec. 4. This act becomes effective on July 1, 2025.
________
κ2025 Statutes of Nevada, Page 2652κ
Senate Bill No. 480Committee on Finance
CHAPTER 409
[Approved: June 9, 2025]
AN ACT making an appropriation to the Office of Finance in the Office of the Governor for a loan to the Office of the Chief Information Officer within the Office of the Governor for the replacement of uninterruptible power supply equipment and related expenses; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. There is hereby appropriated from the State General Fund to the Office of Finance in the Office of the Governor for a loan to the Office of the Chief Information Officer within the Office of the Governor for the replacement of uninterruptible power supply equipment and related licensing and maintenance expenses the following sums:
For the Fiscal Year 2025-2026.................................................... $790,902
For the Fiscal Year 2026-2027......................................................... $9,450
2. The amounts appropriated by subsection 1 are a loan. Commencing on July 1, 2027, the Chief Information Officer shall use revenues from intergovernmental transfers to repay the loan in annual installments to the State Treasurer for deposit in the State General Fund. Each annual installment must be 25 percent of the loan, and the loan must be fully repaid not later than the end of Fiscal Year 2030-2031.
3. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec. 2. This act becomes effective on July 1, 2025.
________
κ2025 Statutes of Nevada, Page 2653κ
Senate Bill No. 481Committee on Finance
CHAPTER 410
[Approved: June 9, 2025]
AN ACT making a supplemental appropriation to the Division of Public and Behavioral Health of the Department of Health and Human Services for an unanticipated shortfall related to the costs of provider services in the Southern Nevada Adult Mental Health Services budget account; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. There is hereby appropriated from the State General Fund to the Division of Public and Behavioral Health of the Department of Health and Human Services the sum of $1,647,791 for an unanticipated shortfall related to the costs of provider services in the Southern Nevada Adult Mental Health Services budget account. This appropriation is supplemental to that made by section 17 of chapter 209, Statutes of Nevada 2023, at page 1239.
Sec. 2. This act becomes effective upon passage and approval.
________
Senate Bill No. 487Committee on Finance
CHAPTER 411
[Approved: June 9, 2025]
AN ACT making an appropriation to the Office of the Secretary of State for costs associated with the business licensing system modernization project; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. There is hereby appropriated from the State General Fund to the Office of the Secretary of State the sum of $8,983,876 for costs associated with the business licensing system modernization project, including, without limitation, costs related to contract staffing.
2. Any remaining balance of the appropriation made by subsection 1 must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the
κ2025 Statutes of Nevada, Page 2654 (CHAPTER 411, SB 487)κ
appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2027.
Sec. 2. This act becomes effective on July 1, 2025.
________
Senate Bill No. 498Committee on Finance
CHAPTER 412
[Approved: June 9, 2025]
AN ACT making appropriations to the Nevada System of Higher Education to expand undergraduate and graduate nursing programs and for academic programming and building renovations at institutions within the System; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education to expand undergraduate and graduate nursing programs at institutions within the Nevada System of Higher Education the following sums:
For the Fiscal Year 2025-2026............................................... $10,000,000
For the Fiscal Year 2026-2027............................................... $10,000,000
2. The money appropriated by subsection 1:
(a) May be used only for operating costs associated with expanding such undergraduate and graduate nursing programs, including, without limitation, costs related to faculty, staff and equipment; and
(b) Must not be used for capital expenditures, including, without limitation, the construction of new facilities.
3. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
κ2025 Statutes of Nevada, Page 2655 (CHAPTER 412, SB 498)κ
Sec. 1.3. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $2,500,000 for the Nevada State University budget account to support academic programming at the North Las Vegas site of the Nevada State University.
Sec. 1.5. There is hereby appropriated from the State General Fund to the Nevada System of Higher Education the sum of $1,511,999 for the Western Nevada College budget account for the renovation of the Aspen Building on the campus of Western Nevada College.
Sec. 1.7. Any remaining balance of an appropriation made by section 1.3 or 1.5 of this act must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2027.
Sec. 2. This act becomes effective on July 1, 2025.
________
Senate Bill No. 493Committee on Finance
CHAPTER 413
[Approved: June 9, 2025]
AN ACT making appropriations to the Department of Transportation for the replacement of the Nevada Shared Radio System; and providing other matters properly relating thereto.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. There is hereby appropriated from the State General Fund to the Department of Transportation the sum of $2,865,572 for the replacement of the Nevada Shared Radio System.
2. Any remaining balance of the appropriation made by subsection 1 must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2027.
κ2025 Statutes of Nevada, Page 2656 (CHAPTER 413, SB 493)κ
Sec. 2. 1. There is hereby appropriated from the State Highway Fund to the Department of Transportation the sum of $15,039,943 for the replacement of the Nevada Shared Radio System.
2. Any remaining balance of the appropriation made by subsection 1 must not be committed for expenditure after June 30, 2027, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2027, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State Highway Fund on or before September 17, 2027.
Sec. 3. This act becomes effective on July 1, 2025.
________
Senate Bill No. 275Senator Cannizzaro
CHAPTER 414
[Approved: June 9, 2025]
AN ACT relating to domestic relations; prohibiting a court with jurisdiction over a child custody proceeding from taking certain actions for the sole purpose of improving a deficient relationship between a child and a parent of the child under certain circumstances; prohibiting any such court from ordering a child to receive reunification treatment under certain circumstances; requiring any such court to consider certain evidence in making certain findings relating to allegations of domestic violence or child abuse; requiring the Administrative Office of the Courts to provide ongoing training regarding domestic violence, child abuse and best practices in family court in the regular education provided by the Office to judges; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law provides that it is the policy of this State to: (1) ensure that minor children have a continuing relationship with both parents after the parents have ended their relationship; (2) encourage such parents to share the rights and responsibilities of child rearing; and (3) establish that such parents have an equivalent duty to provide their minor children with necessary maintenance, healthcare, education and support. (NRS 125C.001) Section 5 of this bill: (1) defines the term reunification treatment to mean a treatment or therapy aimed at reuniting or reestablishing a relationship between a child and an estranged or rejected parent or other family member of the child; and (2) prohibits a court from issuing an order requiring a child to receive reunification treatment under certain circumstances. Section 5 also prohibits a court from removing a child from a parent or litigant or restricting contact between a child and a parent or litigant for the sole purpose of improving a deficient relationship between the child and the other parent of the child under certain circumstances.
κ2025 Statutes of Nevada, Page 2657 (CHAPTER 414, SB 275)κ
Section 6 of this bill provides that in a child custody proceeding in which a parent is alleged to have committed domestic violence or child abuse, expert evidence relating to the alleged domestic violence or child abuse may only be admitted by a professional who possesses certain expertise and clinical experience. Section 6 also: (1) requires the court in any such proceeding to consider evidence of past domestic violence or child abuse under certain circumstances; and (2) prohibits the court in any such proceeding from issuing an order to remediate the resistance of a child to have contact with a parent alleged to have committed domestic violence or child abuse under certain circumstances.
Existing law requires each judge of the family court to attend a course designed for the training of new judges within 12 months after taking office. (NRS 3.028) Section 7 of this bill requires the Administrative Office of the Courts to: (1) include ongoing training regarding domestic violence, child abuse and best practices in family court in the regular education provided by the Office to judges; and (2) to the extent of available funding, offer such training to certain other persons. Under section 7, this training must comply with certain provisions of federal law.
Sections 3 and 4 of this bill define certain terms for the purposes of sections 2-7 of this bill.
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. Chapter 125C of NRS is hereby amended by adding thereto the provisions set forth as sections 2 to 7, inclusive, of this act.
Sec. 2. As used in sections 2 to 7, inclusive, of this act, unless the context otherwise requires, the words and terms defined in sections 3 and 4 of this act have the meanings ascribed to them in those sections.
Sec. 3. 1. Child custody proceeding means a proceeding in which legal custody, physical custody or visitation with respect to a child is at issue.
2. The term includes a proceeding for divorce, separation, paternity, child support, termination of parental rights and protection from domestic violence in which the issue may appear.
3. The term does not include a delinquency proceeding conducted pursuant to title 5 of NRS, a proceeding to terminate parental rights pursuant to chapter 128 of NRS or a proceeding held pursuant to chapter 432B of NRS.
Sec. 4. Domestic violence means an act described in NRS 33.018.
Sec. 5. 1. During a child custody proceeding, the court shall not:
(a) For the sole purpose of improving a deficient relationship between a child and the other parent of the child, remove the child from a parent or litigant or restrict contact between the child and a parent or litigant who:
(1) Is capable of meeting the needs of the child;
(2) Is protective of the child;
(3) Does not physically or sexually abuse the child or neglect the child; and
(4) Is a person with whom the child is bonded or to whom the child is attached; or
κ2025 Statutes of Nevada, Page 2658 (CHAPTER 414, SB 275)κ
(b) Issue an order requiring a child to receive reunification treatment unless:
(1) The court makes specific findings, based on the papers, pleadings and arguments presented, that generally accepted and scientifically valid proof demonstrates that the treatment is:
(I) Safe, effective and of therapeutic value; and
(II) Will not harm a child; and
(2) The reunification treatment is not predicated on isolating a child from a parent who meets the requirements set forth in subparagraphs (1) to (4), inclusive, of paragraph (a) or otherwise prohibiting contact between a child and any such parent.
2. As used in this section, reunification treatment means a treatment or therapy aimed at reuniting or reestablishing a relationship between a child and an estranged or rejected parent or other family member of the child.
Sec. 6. 1. Notwithstanding any other provision of law, in a child custody proceeding in which a parent is alleged to have committed domestic violence or child abuse:
(a) Expert evidence relating to alleged domestic violence or child abuse may only be admitted by a professional who possesses demonstrated expertise and substantial clinical experience that are not primarily of a forensic nature;
(b) The court shall, in making any finding relating to an allegation of domestic violence or child abuse, consider all relevant and admissible evidence of past domestic violence or child abuse committed by the parent who is the subject of the allegation, including, without limitation, any evidence which indicates that the parent has been:
(1) Arrested for or convicted of domestic violence or child abuse; or
(2) A party against whom an order for protection, restraining order or injunction in the nature of an order for protection is issued; and
(c) The court shall not issue an order to remediate the resistance of a child to have contact with a parent alleged to have committed domestic violence or child abuse unless the order:
(1) Primarily addresses the behavior of the parent with whom the child resists contact; and
(2) Requires the parent with whom the child resists contact to take action to remediate the resistance of the child as a condition precedent to requiring the other parent of the child to take any action to improve the relationship of the child with the parent with whom the child resists contact.
2. For the purposes of this section, an order or injunction is in the nature of a temporary or extended order for protection if it grants relief that might be given in a temporary or extended order for protection.
3. As used in this section:
(a) Child abuse means:
(1) Physical or mental injury of a nonaccidental nature to a child under the age of 18 years; or
κ2025 Statutes of Nevada, Page 2659 (CHAPTER 414, SB 275)κ
(2) Sexual abuse or sexual exploitation of a child under the age of 18 years.
(b) Clinical experience means experience working with and on behalf of victims of domestic violence or child abuse.
(c) Forensic means provided pursuant to a court order for the purpose of litigation. The term includes, without limitation, the evaluation of a parent or child involved in a child custody proceeding.
(d) Order for protection means:
(1) A temporary or extended order for protection against domestic violence issued pursuant to NRS 33.017 to 33.100, inclusive;
(2) A temporary or extended order for protection against stalking, aggravated stalking or harassment issued pursuant to NRS 200.591; or
(3) A temporary or extended order for protection against sexual assault issued pursuant to NRS 200.378.
(e) Sexual abuse has the meaning ascribed to it in NRS 432B.100.
(f) Sexual exploitation has the meaning ascribed to it in NRS 432B.110.
Sec. 7. 1. The Administrative Office of the Courts shall:
(a) Include ongoing training regarding domestic violence, child abuse and best practices in family court in the regular education provided by the Office to judges; and
(b) To the extent that money is available for this purpose, offer such training to:
(1) Other officers of the Judicial Department of the State Government who preside over judicial proceedings involving matters within the jurisdiction of the family court, including, without limitation, magistrates and special masters; and
(2) Court staff who regularly and routinely interact with persons who are involved in child custody proceedings and exercise discretion or judgment in those interactions.
2. The training provided pursuant to subsection 1 must comply with the applicable requirements of the Violence Against Women Act Reauthorization Act of 2022, Pub. L. No. 117-103, 34 U.S.C. §§ 12291 et seq.
Sec. 8. This act becomes effective on July 1, 2025.
________
κ2025 Statutes of Nevada, Page 2660κ
Assembly Bill No. 224Assemblymembers Mosca; DeLong, DSilva, Flanagan, Gurr, Hansen, Jackson, Kasama and Nguyen
CHAPTER 415
[Approved: June 9, 2025]
AN ACT relating to education; requiring the State Board of Finance to issue general obligation bonds to make grants to certain school districts to finance capital improvements; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law creates the Fund to Assist School Districts in Financing Capital Improvements and requires the Director of the Office of Finance to administer the Fund. (NRS 387.333) Under existing law, the board of trustees of a school district is required to submit, with any application for a grant of money from the Fund, proof that the combined ad valorem tax rate of the county is at the limit imposed by law and that one of the following additional emergency conditions exists on the grounds of a school within the school district: (1) at least one building has been condemned; (2) at least one of the facilities is unsuitable for use due to certain conditions; or (3) one of the facilities is in such a condition that the costs of renovating the facility would exceed 40 percent of the cost of constructing a new facility. (NRS 387.3335) This bill requires the State Board of Finance to issue $100,000,000 in general obligation bonds for credit to the Fund to Assist School Districts in Financing Capital Improvements. This bill requires any proceeds of the bonds to be used by the Director to make grants from the Fund to school districts in a county whose population is less than 15,000.
EXPLANATION Matter in bolded italics is new; matter between brackets
[omitted
material] is material to be omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. The State Board of Finance shall issue general obligation bonds of the State of Nevada in a total face amount of not more than $100,000,000 pursuant to NRS 349.150 to 349.364, inclusive. The proceeds of the bonds issued pursuant to this section must be deposited with the State Treasurer for credit to the Fund to Assist School Districts in Financing Capital Improvements created pursuant to NRS 387.333 and used by the Director of the Office of Finance to make grants pursuant to NRS 387.3335 to school districts in a county whose population is less than 15,000.
2. As used in this section, proceeds means amounts received from the sale of an issue of the general obligation bonds and any accrued interest thereon.
Sec. 2. This act becomes effective on July 1, 2025.
________
κ2025 Statutes of Nevada, Page 2661κ
Assembly Bill No. 251Assemblymembers Koenig and Gurr
CHAPTER 416
[Approved: June 9, 2025]
AN ACT relating to food inspections; revising provisions governing custom processing establishments and mobile processing units for certain purposes relating to the inspection of meat and poultry; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law defines official establishment to mean, with certain exceptions, an establishment in this State which on a commercial basis slaughters for hire any meat animal, game mammal, poultry or game bird for human consumption and which has been inspected and approved by the State Quarantine Officer. (NRS 583.375) Under existing law, a custom processing establishment and mobile processing unit slaughter or process livestock or poultry for or upon request by the owner or person in lawful possession of the livestock or poultry. (NRS 583.277, 583.357) Existing law requires the State Quarantine Officer to adopt regulations, consistent with federal law, providing a process for a person to obtain a license to operate a custom processing establishment or a mobile processing unit in this State. When a person is issued a license to operate a custom processing facility or mobile processing unit pursuant to these regulations, existing law provides that the custom processing facility or mobile processing unit shall be deemed an official establishment for the purposes of certain provisions governing the inspection of meat and poultry. (NRS 583.454) Section 3 of this bill requires the State Quarantine Officer to adopt regulations providing a process for a person to obtain a license to operate a mobile processing unit which must authorize a mobile processing unit to perform custom processing and operate as an official establishment and slaughter certain animals on a commercial basis for interstate commerce. Section 3 also requires the Officer to adopt regulations to authorize a custom processing establishment or mobile processing unit to slaughter certain animals on a commercial basis for intrastate sale.
Section 1.5 of this bill revises the definition of custom processing establishment to: (1) remove the requirement that the facility be fixed; and (2) provide that a custom processing establishment is licensed in accordance with the regulations adopted by the Officer to perform custom processing or slaughter certain animals for human consumption on a commercial basis in intrastate commerce. Section 1.7 of this bill revises the definition of mobile processing unit to provide that a mobile processing unit is licensed in accordance with the regulations adopted by the Officer to perform custom processing or slaughter certain animals for human consumption on a commercial basis for interstate or intrastate commerce.
Section 1 of this bill defines custom processing as the slaughter, skinning and preparation of livestock and poultry upon request of the owner or person in lawful possession of the livestock or poultry and for consumption by the owner or person. Section 1.3 of this bill applies certain definitions in existing law and section 1 relating to the inspection of meat and poultry to the provisions of this bill.
EXPLANATION Matter in bolded italics is new; matter between brackets
[omitted
material] is material to be omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. Chapter 583 of NRS is hereby amended by adding thereto a new section to read as follows:
Custom processing means the slaughter, skinning and preparation of livestock and poultry through humane means upon request of the owner or person in lawful possession of the livestock or poultry and for consumption by the owner or person, including, without limitation, immediate family members and nonpaying guests.
κ2025 Statutes of Nevada, Page 2662 (CHAPTER 416, AB 251)κ
person in lawful possession of the livestock or poultry and for consumption by the owner or person, including, without limitation, immediate family members and nonpaying guests.
Sec. 1.3. NRS 583.255 is hereby amended to read as follows:
583.255 As used in NRS 583.255 to 583.555, inclusive, and section 1 of this act, unless the context otherwise requires, the words and terms defined in NRS 583.265 to 583.429, inclusive, and section 1 of this act, have the meanings ascribed to them in those sections.
Sec. 1.5. NRS 583.277 is hereby amended to read as follows:
583.277 Custom processing establishment means a [fixed] facility that [slaughters or processes livestock or poultry for or upon request by the owner or person in lawful possession of the livestock or poultry] is licensed in accordance with the regulations adopted by the Officer pursuant to NRS 583.454 to:
1. Perform custom processing at the facility; and
2. Slaughter for hire on a commercial basis any meat animal, game mammal, poultry or game bird for human consumption at the facility. [The term does not include an official establishment.]
Sec. 1.7. NRS 583.357 is hereby amended to read as follows:
583.357 Mobile processing unit means any truck, trailer, van or other vehicle that is [used] licensed in accordance with the regulations adopted by the Officer pursuant to NRS 583.454 to [slaughter or process livestock or poultry for or upon request by the owner or person in lawful possession of the livestock or poultry] :
1. Perform custom processing; and
2. Slaughter for hire on a commercial basis any meat animal, game mammal, poultry or game bird for human consumption,
Κ at the owners or persons farm or other facility or at a location approved by the Officer. [The term does not include an official establishment.]
Sec. 2. NRS 583.375 is hereby amended to read as follows:
583.375 Official establishment means any establishment or mobile processing unit in this [state,] State, other than an establishment covered by subsection 1 of NRS 583.545, which on a commercial basis slaughters for hire any meat animal, game mammal, poultry or game bird for human consumption, and which has been inspected and approved by the Officer.
Sec. 3. NRS 583.454 is hereby amended to read as follows:
583.454 1. The Officer shall adopt regulations providing a process for a person to obtain a license to operate a custom processing establishment or mobile processing unit in this State.
2. The regulations adopted pursuant to subsection 1:
(a) Must set forth, without limitation:
(1) The requirements for the issuance or renewal of the license;
(2) The fees, if any, for the issuance or renewal of the license;
(3) The requirements for operating the custom processing establishment or mobile processing unit, including, without limitation, standard operating procedures, sanitation, equipment, conditions, reporting, recordkeeping, labeling and packaging;
(4) A requirement for an inspection of the custom processing establishment or mobile processing unit to be conducted at least annually and at such other times as deemed necessary by the Department; and
(5) Any other requirements the Officer determines are necessary to carry out the provisions of this section, including, without limitation, the issuance of a stop sale order for a violation of any provision of this chapter or regulations adopted pursuant to this chapter; [and]
κ2025 Statutes of Nevada, Page 2663 (CHAPTER 416, AB 251)κ
issuance of a stop sale order for a violation of any provision of this chapter or regulations adopted pursuant to this chapter; [and]
(b) Must authorize a mobile processing unit to perform custom processing and operate as an official establishment for the purposes of this section and NRS 583.255 to 583.555, inclusive, and section 1 of this act;
(c) Must authorize a custom processing establishment and mobile processing unit to slaughter for hire on a commercial basis for intrastate sale any meat animal, game mammal, poultry or game bird for human consumption; and
(d) Must be consistent with any regulations adopted by the United States Department of Agriculture.
3. When a person is issued a license to operate a custom processing facility [or mobile processing unit] pursuant to the regulations adopted pursuant to subsection 1, the custom processing facility [or mobile processing unit] for which the license is issued shall be deemed to be an official establishment for the purposes of this section and NRS 583.255 to 583.555, inclusive [.] , and section 1 of this act.
Sec. 4. 1. This section becomes effective upon passage and approval.
2. Sections 1 to 3, inclusive, of this act become effective:
(a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act; and
(b) On July 1, 2026, for all other purposes.
________
Assembly Bill No. 284Assemblymember Brown-May
CHAPTER 417
[Approved: June 9, 2025]
AN ACT relating to Medicaid; requiring the Director of the Department of Health and Human Services to seek to establish certain rates of reimbursement under Medicaid for vagus nerve stimulation therapy devices and replacement parts for such a device; making an appropriation; and providing other matters properly relating thereto.
Legislative Counsels Digest:
Existing law requires the Department of Health and Human Services to administer the Medicaid program. (NRS 422.270) Section 2 of this bill requires the Director of the Department to submit to the United States Secretary of Health and Human Services a request to include under Medicaid to provide rates of reimbursement greater than or equal to 82 percent of the cost for: (1) a vagus nerve stimulation therapy device prescribed for the treatment of epilepsy; and (2) any replacement part for such a device. Section 2 also clarifies that the rates of reimbursement established for the cost of a vagus nerve stimulation therapy device and any replacement part for such a device must be separate from and in addition to the rates of reimbursement for medical care necessary for the implantation or repair of such a device or the replacement of a part for the device. Section 1 of this bill makes an appropriation to and authorizes expenditures by the Division of Health Care Financing and Policy of the Department for certain costs associated with making the increases to rates of reimbursement under Medicaid required by section 2.
κ2025 Statutes of Nevada, Page 2664 (CHAPTER 417, AB 284)κ
EXPLANATION Matter in bolded italics is new; matter between
brackets [omitted material] is material to be
omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. There is hereby appropriated from the State General Fund to the Division of Health Care Financing and Policy of the Department of Health and Human Services for carrying out the provisions of section 2 of this act and making upgrades to computer systems necessary to carry out those provisions the following sums:
For the Fiscal Year 2025-2026....................................................... $54,728
For the Fiscal Year 2026-2027.................................................... $240,004
2. Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
3. Expenditure of the following sums not appropriated from the State General Fund or the State Highway Fund is hereby authorized by the Division of Health Care Financing and Policy of the Department of Health and Human Services for the same purposes as set forth in subsection 1:
For the Fiscal Year 2025-2026.................................................... $188,270
For the Fiscal Year 2026-2027.................................................... $700,098
Sec. 2. 1. On or before October 1, 2025, the Director of the Department of Health and Human Services shall submit to the United States Secretary of Health and Human Services a request to include under Medicaid:
(a) A rate of reimbursement for a vagus nerve stimulation therapy device prescribed for the treatment of epilepsy that is greater than or equal to 82 percent of the acquisition cost of such a device; and
(b) A rate of reimbursement for any replacement part for a vagus nerve stimulation therapy device prescribed for the treatment of epilepsy that is greater than or equal to 82 percent of the acquisition cost of such a replacement part.
2. The rates of reimbursement established pursuant to subsection 1 must be separate from and in addition to the rates of reimbursement for the medical care necessary for implantation or repair of a vagus nerve stimulation therapy device or the replacement of a part for such a device.
3. The request submitted pursuant to subsection 1 must be supported using methods for determining rates of reimbursement accepted by the Secretary.
Sec. 3. 1. This section and section 1 of this act become effective on July 1, 2025.
2. Section 2 of this act becomes effective on March 1, 2026.
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