Maddy summaryAB 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.

Sponsored bills
Maddy summaryAB 428 requires most health insurance plans in Nevada to cover fertility preservation services for individuals diagnosed with breast or ovarian cancer who face infertility from the cancer or its treatment. This coverage must include medically necessary procedures as defined by established medical guidelines, such as egg or sperm freezing before cancer treatment begins. Insurers affiliated with religious organizations may exclude this coverage if they provide written notice to insureds about the exemption. The law applies to private health plans, Medicaid, and state/local government employee health insurance, with enforcement by the Insurance Commissioner for non-compliance.
Maddy summarySB 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.
Maddy summaryAB 416 prohibits school boards, charter school governing bodies, and school employees from restricting student access to library materials by removing, hiding, labeling, or defacing them. It allows materials to be removed only through a court order if deemed obscene under a standard similar to existing law. The bill also creates new felony charges for using force to block student access or leaking personal information of school staff or students as retaliation for accessing library materials, with specific conditions for the information-sharing provision. This directly affects school officials, students, and staff by protecting access to library resources and penalizing interference.
Maddy summaryAB 405 requires Nevada's State Department of Agriculture Director to establish a program supporting community gardens and urban farms in areas with high food insecurity (including designated food deserts). This program will help residents in underserved communities access fresh food by expanding local food production. The bill authorizes the Director to accept gifts, donations, grants, or other funding to support this initiative. It directly affects communities facing food access challenges and the state agency managing agricultural programs.
Maddy summaryAB 457 requires certain real estate rental businesses in Nevada to be treated as a single "combined taxpayer group" for commerce tax purposes. Specifically, business entities primarily renting property in Nevada with over 50% ownership by common owners must combine their revenue under one tax calculation. This affects multi-entity real estate rental operations, changing how their commerce tax liability is determined based on total group revenue rather than individual entities. The law applies to taxable years beginning July 1, 2025, and modifies existing tax code definitions to include this grouping requirement.
Maddy summaryAB 289 authorizes Nevada's Board of Regents to establish a required financial literacy course within the Nevada System of Higher Education, which includes the University of Nevada. This bill directly affects public universities in Nevada by giving the Board of Regents the authority to create such a course of study. The key provision adds language to Nevada law allowing the Board to prescribe financial literacy as part of the curriculum. The bill was signed into law by the Governor on June 5, 2025, and became Chapter 284.
Maddy summaryAB 121 requires Nevada landlords to list rent as a single total figure in agreements, including mandatory fees like utilities, and prohibits charging more than this amount. It mandates landlords provide at least one free payment method that doesn’t require bank details or additional fees, and requires clear disclosure of any online payment fees. Landlords must refund application fees if they rent to another tenant without using the collected fee for processing, and cannot charge for background checks or credit reports for minors in the household. The law directly affects Nevada renters and landlords by increasing transparency in rent pricing, payment options, and fee practices.
Maddy summaryAB 246 requires Nevada’s Department of Corrections to establish voluntary vocational farm programs in state facilities where funding allows, focusing on sustainable agriculture, fair labor standards, and therapeutic education. It also allows the department to hire outside registered dietitians (not tied to food vendors) to improve inmate nutrition, with new regulations adopted per state procedures. The bill mandates a 2025-2026 study on food services in correctional facilities, requiring public publication of results and limiting food service contract renewals to two years during the study. These changes directly affect incarcerated individuals through improved meal programs and vocational opportunities, while placing new requirements on the Department of Corrections.
Maddy summaryAB 378 creates a pilot program allowing patients diagnosed with mental health conditions to access psychedelic therapy (using psilocybin, psilocin, DMT, ibogaine, or mescaline) under medical supervision in approved clinics. The Division of Public and Behavioral Health administers the program, requiring clinics to operate under strict medical oversight and participant approval. The bill includes confidentiality protections for patient data, liability immunity for program participants, and mandates annual reporting to the legislature. It also establishes an advisory committee and requires compliance with federal controlled substance regulations during the pilot phase.