Rep. Erica Roth

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 summaryAB 467 allows courts to order involuntary mental health treatment for criminal defendants found incompetent who pose a danger to themselves or others, provided treatment is needed to regain competence. It creates new options for treatment in county jails (for Clark and Washoe Counties) instead of separate facilities, requires better record-sharing between providers, and exempts mental health staff from following psychiatric advance directives in these cases. The bill directly affects criminal defendants, mental health facilities, county governments (responsible for transportation costs), and juvenile courts handling child placements. Key mechanisms include court-ordered admission criteria, jail-based treatment facilities, and updated data tracking for defendants in mental health facilities.

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 388 revises paid family leave provisions for state employees and private employers with 50+ staff. It reduces the required employment duration from 12 months to 90 days, increases leave entitlement from 8 to 12 weeks, and expands eligible reasons to include bonding with foster children, pregnancy-related conditions, and domestic violence situations. Employers must provide 100% pay for employees earning up to 110% of the state average wage, and 60% pay for higher earners. The bill also requires employers to establish clear procedures and provide written notices about leave eligibility.

Maddy summaryAB 442 requires Nevada state agencies that make grants to private nonprofits to notify grantees in writing if payment is delayed beyond 30 days after receiving a valid invoice, and to submit annual reports of such delays to finance officials. It directly affects state grant-making entities (like government departments) and private nonprofits with IRS 501(c)(3) status. Key provisions include standardized notice requirements for payment delays, annual reporting to the Office of Finance, and updates to the State Plan for Federal Assistance to include methods for managing advanced grant payments. The law takes effect July 1, 2026, and excludes grants executed before that date.

Maddy summarySB 352 amends Nevada law to prohibit health insurers and health care providers from discriminating against patients based on race, color, national origin, sex, age, disability, or gender identity/expression. The bill expands existing protections by adding race, color, national origin, sex, age, and disability to the list of prohibited discrimination bases in health insurance policies and health care services. It also authorizes Nevada's health care licensing agencies to create specific anti-discrimination regulations and discipline providers who violate these rules. This applies directly to all health insurance companies, Medicaid, and health care facilities operating in Nevada.

Maddy summaryAB 381 updates Nevada's animal cruelty laws to better address neglect and abuse. It revises definitions to include passive inaction (like failing to stop abuse when aware) as cruelty, and removes the exception that previously exempted agricultural land from cruelty investigations. The bill increases penalties for cruelty, raising police animal assault to a category B felony if the animal is disabled or killed, and changes procedures for impounded animals during arrests by requiring forfeiture to local governments instead of auction. These changes directly affect animal owners, law enforcement, courts, and shelters handling cruelty cases.

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 summarySB 201 prevents homeowners' associations and landlords from banning residents from displaying religious or cultural items (like prayer flags or cultural symbols) in their private living spaces, such as on doors or in units. It allows exceptions for displays larger than 36x12 inches, those threatening safety, violating laws, or containing illegal content. Landlords and associations must give 7 days' written notice before temporarily removing displays during repairs, store items respectfully, and return them within 72 hours. This law directly affects renters and homeowners in Nevada common-interest communities and rental properties.

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.