AB 161 requires all Nevada hospice care programs to accept Medicare payments within 12 months of licensure and maintain national accreditation. It prohibits programs from accepting new patients if any owner with ≥5% stake faces healthcare law investigations or violations, and bans transferring Medicare billing privileges for 60 months after initial approval or major ownership changes. The bill mandates enhanced oversight for newly licensed programs (first 2 years), requires qualified medical directors, and establishes interdisciplinary teams to develop patient care plans. Additionally, it mandates annual reports on program ownership/licensure and creates independent review boards to ensure compliance with ethical standards and eliminate financial conflicts in patient eligibility decisions.
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.
SB 207 transfers administration of Nevada's Program of All-Inclusive Care for the Elderly (PACE) from the Aging and Disability Services Division to the entire Department of Health and Human Services. It requires the Department to establish and run the PACE program, which provides comprehensive medical and social services to Medicare/Medicaid-eligible adults aged 55+ who wish to remain in their communities. The bill updates state law to reflect this change, ensures compliance with federal PACE rules (42 U.S.C. §§ 1395eee, 1396u-4), and directs the Division of Health Care Financing to fund the program. It also revises the Community Advocate's role to coordinate resources related to the new Department-run PACE program.
AB 281-82 requires senior living facilities in Clark and Washoe Counties (with populations over 100,000) to maintain functional ventilation systems and install carbon dioxide detectors. It mandates regular assessments by qualified personnel, corrective actions for issues, and requires facility administrators to submit detailed reports on ventilation work to the state health department, which become public records. The bill allows facilities receiving federal healthcare funding (like Medicare or Medicaid) to use those funds for ventilation upgrades and sets specific HVAC standards for these facilities. These requirements apply only to facilities certified as intermediate care, skilled nursing, group residential, or individual residential care.
AB 583 sets specific monthly subsidy amounts for Nevada's Public Employees' Benefits Program, affecting active state employees and retired public officers/employees. For active employees, it establishes $991 per month for 2025-26 and $943 per month for 2026-27. For retirees, it sets a base $650 per month for 2025-26 and $700 per month for 2026-27, with additional Medicare coverage subsidies varying by retirement date (e.g., $195/month for pre-1994 retirees, up to $260/month for post-1994 retirees based on service years). The bill takes effect July 1, 2025.
SB 105 requires Nevada insurers selling Medicare supplemental policies to allow people purchasing "guaranteed issue" policies (those that must be sold without health screening) to choose any standard plan the insurer offers to new customers. It also prohibits insurers from varying commissions or treating these policies differently for commission purposes based on their "guaranteed issue" status. The bill applies to all standardized benefit plans available for new enrollment under federal law. This affects insurers operating in Nevada who sell Medicare supplemental policies, ensuring consistent plan access and commission rules for eligible buyers.
AB 259 requires pharmacies, insurers, and healthcare providers in Nevada to pay or reimburse no more than the federal "maximum fair price" for certain prescription drugs covered under Medicare. It directly affects drug purchasers and reimbursers within Nevada who handle federally negotiated drugs, while exempting certain federal health coverage providers (like those under ERISA) unless they voluntarily opt-in. The bill makes overpayment a "deceptive trade practice" under Nevada law, enabling civil lawsuits by affected parties but removing criminal penalties. The bill passed the Nevada legislature in June 2025 but was vetoed by the Governor on June 12, 2025.
SB 262 transfers administration of Nevada’s Graduate Medical Education Grant Program from the Office of Science to the Department of Health and Human Services (DHS). It requires medical institutions receiving grants to obtain DHS approval before eliminating or reducing residency training programs, with criteria including demonstrating reduced patient need and no negative impact on healthcare provider availability. The bill expands grant eligibility to include programs exceeding Medicare-funded resident slots and allows DHS to provide limited grants for new program development and staffing. It also directs DHS to explore using Medicaid funding to support residency programs, effective as of its passage and signing into law on June 10, 2025.
AB 349 sets maximum rates hospitals can charge for services to public employees covered by Nevada’s Public Employees’ Benefits Program. It caps in-network rates at 175% of Medicare rates and out-of-network rates at 160%, with potential increases if hospitals face Medicaid reimbursement-related financial hardship (requiring Interim Finance Committee approval). Local governments may opt into the program, and all Nevada hospitals must comply with federal transparency rules requiring public posting of standard charges. The bill aims to control healthcare costs for state-covered patients while maintaining hospital financial stability.
