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SB 423 Nevada Senate · 2025 Regular Session

Revises provisions governing public health. (BDR 40-349)

SB 423 creates a new "Account for Public Health" funded by the first $30 million annually from a 3.5% tax on insurance premiums. It directs funds to local health authorities (including county health boards, health districts, and tribal entities) to support public health initiatives, with allocations requiring detailed proposals and annual reports on fund usage. The bill also revises health board membership to include legislative appointees and mandates that health authorities receiving funds develop electronic systems for securely sharing health records. This bill directly affects local health agencies and insurance providers through new funding mechanisms and reporting requirements.
Issues: ✓ Budget & TaxesSupports Budget & TaxesBill creates new tax on insurance premiums to fund public health programs, increasing state appropriations for essential services.95% confidence ✓ HealthcareSupports HealthcareCreates $30M annual fund from insurance tax for public health initiatives via local health authorities, explicitly advancing public health funding and programming.95% confidence
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 24, 2025 Last action Jun 3, 2025
Maddy AI version diff · 1 comparison

What changed between versions

As Introduced → Reprint 1 · 4 edits
MODERATE
This bill was amended to align with Senate Bill 312, which creates a separate Tribal Health Account. The changes update definitions of 'health authority' to include federally recognized Indian tribes, adjust funding thresholds from $30 million to $4.925 million, and add provisions for allocating funds to the new Tribal Health Account if SB 312 is enacted.
Scope change
The bill now explicitly includes federally recognized Indian tribes as health authorities and creates a funding mechanism to support tribal health activities if SB 312 is passed.
DEFINITION

Expanded the definition of 'health authority' to include federally recognized American Indian tribes located in Nevada.

Created a new section 2.5 to define 'health authority' specifically for tribal health funding purposes.

FISCAL

Reduced the minimum annual funding threshold from $30,000,000 to $4,925,000 for the Account for Public Health.

Added provisions to allocate funds to the Account for Tribal Health if Senate Bill 312 is enacted.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
6
Key actions
3
Committee
3
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. 466.) Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.
upper
Mar 26, 2025
Upper · Passed
From printer. To committee.
upper
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.