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SB 312 Nevada Senate · 2025 Regular Session

Enacts provisions relating to the health of American Indians. (BDR 38-347)

SB 312 requires Nevada's Department of Health and Human Services to seek federal approval allowing tribal health coordinators to determine Medicaid eligibility for American Indians, Alaska Natives, and Native Hawaiians. It creates the Tribal Health Authority Council to develop a plan improving health care access and removing barriers for these communities, with the Council funded through a new Account for Tribal Health. The bill mandates collaboration between the Department of Health and Human Services, the Council, and tribal health clinics to ensure coordinators have necessary resources for eligibility determinations. This directly affects tribal communities and tribal health clinics by streamlining Medicaid access while maintaining existing state Medicaid administration.
Issues: ✓ HealthcareSupports HealthcareRequires tribal coordinators to determine Medicaid eligibility, creates Tribal Health Authority Council to improve access, funds new Account for Tribal Health95% confidence
Bill status signed all 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
Senate Passage
Jun 2025
Assembly Passage
May 2025
Signed into Law
Jun 2025
Introduced Mar 10, 2025 Signed Jun 6, 2025
Maddy AI version diff · 3 comparisons

What changed between versions

Reprint 2 → As Enrolled · 4 edits · Jun 6, 2025
MODERATE
The bill was finalized into its official 'As Enrolled' version, removing all draft markers, committee headers, and explanatory notes while retaining the core policy text. The substantive policy content regarding Medicaid eligibility for American Indians and the creation of the Tribal Health Authority Council remains unchanged from the previous reprint.
TECHNICAL

Removed draft-specific headers, dates, committee references, and the Legislative Counsel's Digest that explained the bill's purpose.

Removed the explanatory section detailing how new text and omitted material are marked in the document.

Replaced the draft title page with the formal 'As Enrolled' title page and the standard 'The People of the State of Nevada' enactment clause.

REMOVED

Deleted the 'EXEMPT' status and 'Reprint 2' label indicating this was a working version of the bill.

Floor votes · Assembly May 31, 2025

How they voted

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

Actions timeline

Total actions
14
Key actions
8
Committee
5
Jun 6, 2025
Signed into law
Approved by the Governor. Chapter 384.
executive
Jun 2, 2025
Upper · Passed
To enrollment.
upper
May 31, 2025
Upper · Passed
Read third time. Passed. Title approved. (Yeas: 39, Nays: None, Excused: 3.) To Senate.
upper
May 28, 2025
Upper · Passed
From committee: Do pass. Placed on Second Reading File. Read second time.
upper
May 26, 2025
Upper · Passed
From committee: Amend, and do pass as amended. Placed on General File. Read third time. Amended. (Amend. No. 755.) Reprinting dispensed with. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 20, Nays: None, Excused: 1.) To printer. From printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly. In Assembly. Read first time. Referred to Committee on Health and Human Services. To committee.
upper
Apr 24, 2025
Upper · Passed
From printer. To engrossment. Engrossed. First reprint. To committee.
upper
Apr 21, 2025
Upper · Passed
From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 220.) Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.
upper
Mar 11, 2025
Upper · Passed
From printer. To committee.
upper
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.