SB 389 Nevada Senate · 2025 Regular Session

Revises provisions relating to the administration of pharmacy benefits under Medicaid and certain other health plans. (BDR 38-240)

SB 389 requires Nevada's Department of Health and Human Services to select a single state pharmacy benefit manager (SPBM) by January 1, 2030, to manage prescription drug coverage for Medicaid, the Children’s Health Insurance Program (CHIP), and other health plans using Medicaid’s formulary. The bill mandates reimbursement rates based on the "Nevada Average Acquisition Cost" (NAAC), which uses actual drug acquisition costs to maximize state savings, and requires Medicaid managed care organizations to contract with the SPBM and disclose pharmacy spending data. It also sets strict criteria for SPBM selection, prohibits conflicts of interest, and requires Department approval for all pharmacy contracts under the SPBM.

Issues: ✓ Healthcare

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 17, 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 text was converted from a 'Reprint' draft to the final 'As Enrolled' version, which includes the official title, a detailed summary of the law's purpose, and the Legislative Counsel's Digest. The core legal text and policy provisions remain unchanged, but the formatting was updated to include page numbers and session identifiers consistent with the final enacted document.

TECHNICAL

Added the official bill title, a detailed summary explaining the law's intent, and the Legislative Counsel's Digest which summarizes existing laws and new requirements.

Included page headers and footers (e.g., '83rd Session (2025)', page numbers) that were present in the final version but missing from the reprint draft.

Removed the 'Reprint' header, the specific reprint date (May 26, 2025), and the internal draft markers used in the earlier version.

Reformatted the Legislative Counsel's Digest to remove line numbers and adjust spacing to match the final enrolled bill format.

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

Key actions

Committee

Jun 6, 2025

Signed into law

Approved by the Governor. Chapter 390.

executive

Jun 2, 2025

Upper · Passed

To enrollment.

upper

May 31, 2025

Upper · Passed

Read third time. Passed. Title approved. (Yeas: 41, Nays: None, Excused: 1.) To Senate.

upper

May 30, 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. 725.) Reprinting dispensed with. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 18, Nays: 2, Excused: 1.) To printer.

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. 465.) Notice of eligibility for exemption. Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.

upper

Mar 18, 2025

Upper · Passed

From printer. To committee.

upper

2 primary · 1 co-sponsor