SB 292 Nevada Senate · 2025 Regular Session

Revises provisions relating to Medicare supplemental policies. (BDR 57-1069)

SB 292 requires insurers in Nevada to offer the same Medicare supplemental insurance plans to people under 65 who qualify for Medicare due to disability or end-stage renal disease as they offer to those 65 and older. It prohibits insurers from charging higher premiums (capping at 200% of the 65+ rate) or imposing additional restrictions on these younger enrollees. The bill also creates a 6-month open enrollment period starting when a person first enrolls in Medicare Part B, during which insurers cannot deny coverage or exclude preexisting conditions. These provisions apply to all insurers, including those covering state and local government employees.
Bill status signed all 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
Senate Passage
Apr 2025
Assembly Passage
May 2025
Signed into Law
Jun 2025
Introduced Mar 6, 2025 Signed Jun 5, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Reprint 1 As Enrolled · 4 edits · Jun 5, 2025
MODERATE
This bill transitions from a draft reprint to its final enrolled version, making it ready for signing into law. It requires insurance companies to allow people under 65 with disabilities to buy Medicare supplemental policies at the same rates and terms offered to seniors. The final version includes specific effective dates and clarifies the rules for open enrollment periods.
Scope change
The bill's scope remains focused on expanding insurance access for disabled Medicare beneficiaries under 65, but the enrolled version adds specific implementation dates and clarifies applicability to hospitals and government employers.
TIMELINE

Added a specific 6-month open enrollment period starting October 1, 2025, for disabled individuals under 65 to purchase policies.

DEFINITION

Formally defined 'Medicare supplemental policy' to match federal regulations in the final text.

REQUIREMENT

Removed draft headers and summary notes, replacing them with the official legislative text required for enactment.

Clarified that hospitals and state/local governments offering employee insurance must also follow these rules.

Floor votes · Assembly May 22, 2025

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
13
Key actions
7
Committee
3
Jun 5, 2025
Signed into law
Approved by the Governor.
executive
May 29, 2025
Lower · Passed
Assembly Amendment No. 703 concurred in. To enrollment.
lower
May 22, 2025
Lower · Passed
Read third time. Passed, as amended. Title approved. (Yeas: 39, Nays: 3.) To printer.
lower
May 21, 2025
Lower · Passed
From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 703.) Dispensed with reprinting.
lower
Apr 1, 2025
Upper · Passed
Read third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.) To Assembly.
upper
Mar 27, 2025
Upper · Passed
From committee: Do pass.
upper
Mar 7, 2025
Upper · Passed
From printer. To committee.
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Roberta Lange
Roberta Lange
DDemocratic
NV
7