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SB 497 Nevada Senate · 2025 Regular Session

Eliminates a requirement concerning rates of reimbursement under Medicaid for applied behavioral analysis services. (BDR 38-1238)

SB 497 eliminates a requirement that Nevada's Medicaid program set reimbursement rates for applied behavioral analysis (ABA) services for individuals under 27 years old to be comparable to rates paid in other states every two years. Instead, it directs Medicaid to establish these rates using the same process applied to all other covered services. This change primarily affects Medicaid recipients under 27 who receive ABA services and the behavior analysts, assistant behavior analysts, and registered behavior technicians who provide them. The bill does not alter eligibility for ABA services or the existing annual reporting requirements about service access and waitlists.
Issues: ✗ HealthcareOpposes HealthcareRemoves requirement for Medicaid to set ABA reimbursement rates comparable to other states, potentially reducing rates and access to mental health services for under-27 Medicaid recipients.85% confidence
Bill status signed all 5 stages cleared
Introduction
May 2025
Committee Review
May 2025
Senate Passage
Jun 2025
Assembly Passage
May 2025
Signed into Law
Jun 2025
Introduced May 19, 2025 Signed Jun 5, 2025
Maddy AI version diff · 1 comparison

What changed between versions

As Introduced → As Enrolled · 5 edits · Jun 5, 2025
MODERATE
This bill removes a requirement that the state must set Medicaid reimbursement rates for autism-related behavioral services every two years. Instead, the state will now set these rates using the same process as for other Medicaid services. The bill also clarifies billing limits and maintains reporting requirements for service providers.
Scope change
The bill narrows the scope of rate-setting authority by eliminating the separate biennial rate-setting process for applied behavioral analysis services, aligning them with standard Medicaid rate-setting procedures.
REQUIREMENT

Eliminated the requirement for the Director of Health and Human Services to biennially establish reimbursement rates for applied behavioral analysis services that must be comparable to other states' rates.

Changed rate-setting process so Medicaid will establish reimbursement rates for behavioral services using the same method as for other Medicaid services.

Added specific billing limits restricting how many hours behavior analysts, assistant behavior analysts, and registered behavior technicians can bill for services in a 24-hour period.

Added training requirements for behavior service providers regarding the new billing limits.

TECHNICAL

Reformatted the bill text from 'As Introduced' to 'As Enrolled' version with updated Senate Bill header and legislative session information.

Floor votes · Senate May 22, 2025 · Assembly May 31, 2025

How they voted

20–0
Passed
Total votes 20
May 22, 2025
D Democratic12
12 Yea
100% Yea
R Republican8
8 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
14
Key actions
7
Committee
3
Jun 5, 2025
Signed into law
Approved by the Governor.
executive
Jun 2, 2025
Upper · Passed
To enrollment.
upper
May 31, 2025
Lower · Passed
Read third time. Passed. Title approved. (Yeas: 41, Nays: None, Excused: 1.) To Senate.
lower
May 28, 2025
Lower · Passed
From committee: Do pass. Placed on Second Reading File. Read second time.
lower
May 22, 2025
Upper · Passed
Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.
upper
May 21, 2025
Upper · Passed
From committee: Do pass. Placed on Second Reading File. Read second time.
upper
May 20, 2025
Upper · Passed
From printer. To committee.
upper
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.