Establishes provisions governing the prescribing, dispensing and administering of medication designed to end the life of a patient. (BDR 40-600)
AB 346 establishes a legal framework for "medical aid in dying" in Nevada, allowing terminally ill adults to self-administer lethal medication under strict conditions. It directly affects patients diagnosed with a terminal condition by two physicians who are 18+, mentally capable, and making a voluntary, informed decision without coercion. Key provisions require two verbal requests, one written request with a witness, physician verification of diagnosis and mental capacity, counseling about alternatives, and a referral to a consulting practitioner for confirmation. The bill also mandates specific documentation, prohibits prescribing based solely on age/disability, and requires death certificates to note the terminal condition while marking a box indicating self-administration of the medication.
Bill status
passed
3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
Apr 2025
Assembly Passage
Apr 2025
Senate Passage
Governor
Introduced Mar 3, 2025
Last action May 17, 2025
Maddy AI version diff · 1 comparison
What changed between versions
As Introduced
→
Reprint 1
·
1 edit
MINOR
The bill was reprinted with amendments adopted on April 15, 2025, adding a new section 22.5 that prescribes how attending practitioners may bill patients or insurers for diagnosing conditions and prescribing life-ending medications. The Legislative Counsel's Digest was updated to reflect this new billing provision while maintaining the core requirements for patient requests, medical record documentation, and reporting to state health agencies.
Scope change
The bill's scope was expanded to include specific billing procedures for medical services related to life-ending medication prescriptions, clarifying financial arrangements between practitioners, patients, and insurers.
FISCAL
New section 22.5 establishes billing procedures for practitioners to charge patients or insurers for diagnosing conditions and prescribing life-ending medications.
Floor votes · Assembly Apr 17, 2025
How they voted
22–18
Passed
Total votes 40
Apr 17, 2025
D
Democratic26
73% Yea
R
Republican14
78% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
10
Key actions
3
Committee
2
Apr 17, 2025
Lower · Passed
Read third time. Passed, as amended. Title approved. (Yeas: 23, Nays: 19.) To Senate.
lower
Apr 10, 2025
Lower · Passed
From committee: Do pass.
lower
Mar 4, 2025
Lower · Passed
From printer. To committee.
lower
2 primary · 1 co-sponsor
Sponsors
Role
Legislator
Party
State
District
P
Danielle Gallant
RRepublican
P
Joe Dalia
DDemocratic
Co
Edgar Flores
DDemocratic
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