Rep. Natha Anderson

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.

Maddy summaryAB 414 requires employers at qualifying "large hybrid environment facilities" (defined as 10,000+ square feet where workers face outdoor elements >50% of shifts) with over 15 employees to add specific air quality protections to their written safety programs. Key provisions mandate turning off vehicle engines during loading/unloading (except refrigerated units), monitoring air quality every 4 hours, and implementing ventilation if unsafe levels are detected. Exemptions cover law enforcement, emergency responders, waste management, towing services, and state agencies. The bill was passed by both chambers in June 2025 but was vetoed by the Governor on June 11, 2025, preventing it from becoming law.

Maddy summaryAB 234 requires Nevada's Medicaid program to cover screening for lung, prostate, and colorectal cancer, expanding existing coverage that already includes breast and cervical cancer screenings. This policy directly affects Medicaid recipients in Nevada by adding three new cancer screening options to their covered services. The bill mandates the state health agency to include all proven screening methods for these cancers under Medicaid, with a requirement to seek federal approval for funding through waivers if needed. This change builds upon current Medicaid coverage without altering existing eligibility or cost-sharing rules for beneficiaries.

Maddy summaryAB 304 requires Nevada’s Department of Health and Human Services to create a pilot program studying electromagnetic brain pulse treatment - a noninvasive, non-drug therapy using magnetic pulses to address brainwave abnormalities. The program must identify treatment best practices, analyze patient risks, examine existing research data, and assess barriers to adopting this treatment in medical care. The department must submit a final report with findings and recommendations to the Governor and the Health and Human Services committee by July 1, 2027. This bill directly affects the department’s operations and future healthcare policy decisions regarding this specific treatment method.

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 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 434 prohibits Nevada employers from punishing employees who decline to attend meetings or communications primarily focused on religious or political topics. It directly affects all Nevada employees by making it unlawful to fire, discipline, or retaliate against them for refusing such employer-sponsored religious or political discussions, with limited exceptions for religious employers or if refusal disrupts job performance. The bill also established legal remedies for affected employees, including back pay, damages, and attorney fees. However, this bill was vetoed by the Governor on June 9, 2025, and did not become law.

Maddy summaryAB 352 creates a new licensing system for small home-based businesses selling cosmetics and food in Nevada, directly affecting individuals who make and sell these products from their homes. It exempts cottage cosmetics operations (with annual sales under $100,000) from full state licensing requirements but requires them to apply for a state license, pay fees, and register with the Department of Agriculture. Similarly, it revises rules for cottage food operations (also capped at $100,000 annual sales), allowing online/in-person sales and requiring state licensing instead of local health authority registration. The bill also increases the sales cap for craft food operations from $35,000 to $100,000 annually and includes federal compliance requirements for child support checks.