SB 234 Nevada Senate · 2025 Regular Session

Makes revisions relating to Medicaid. (BDR 38-40)

SB 234 requires Nevada's Medicaid program to cover emergency medical care for non-citizens who would otherwise be ineligible due to immigration status. It mandates coverage for emergency transportation, emergency room care, inpatient services directly related to an emergency, and limited follow-up care for kidney disease or cancer (with prior approval from the Department of Health and Human Services). The bill specifically excludes non-emergency care and aligns state Medicaid coverage with existing federal emergency medical condition requirements. This policy change directly affects non-citizens in Nevada facing urgent health crises who previously lacked access to these essential services.

Issues: ✓ Healthcare ✓ Immigration

Bill status in committee 1 of 4 stages cleared

Introduction

Feb 2025

Committee Review

Floor Vote

Governor

Introduced Feb 25, 2025 Last action Jun 3, 2025

Maddy AI version diff · 1 comparison

What changed between versions

As Introduced → Reprint 1 · 3 edits

MINOR

This bill was amended to limit Medicaid emergency coverage for undocumented immigrants to children under age 21, and added a requirement for the state to seek increased Medicaid reimbursement rates for pediatric cancer and rare childhood disease treatments.

Scope change

The bill's scope was narrowed from covering all undocumented immigrants to only those under 21 years of age, and a new provision was added to address funding for specific pediatric treatments.

ELIGIBILITY

Changed eligibility for emergency Medicaid coverage from all undocumented immigrants to only those who are less than 21 years of age.

FISCAL

Added a requirement for the Department of Health and Human Services to identify common pediatric cancer and rare childhood disease treatments and apply to the federal government for increased Medicaid reimbursement rates for these services.

REQUIREMENT

Removed language that allowed coverage for renal disease and cancer treatment for all eligible undocumented immigrants, as these are now limited to the under-21 age group.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 22, 2025

Upper · Passed

From printer. To engrossment. Engrossed. First reprint. To committee.

upper

Apr 18, 2025

Upper · Passed

From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 352.) Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.

upper

Feb 26, 2025

Upper · Passed

From printer. To committee.

upper

6 primary · 4 co-sponsors