Maddy summarySB 217, vetoed by the Governor on June 12, 2025, establishes new rights for individuals accessing assisted reproduction and requires health insurers to cover infertility treatment and fertility preservation. It prohibits government entities from imposing burdens on access to assisted reproduction, fertility services, or reproductive genetic material, with legal remedies available for violations. The bill mandates that health plans for groups over 50 employees (including public employers) cover infertility treatment and fertility preservation without cost-sharing, while exempting Medicaid managed care plans from these requirements until 2027. It also clarifies that fertilized eggs before implantation are not considered "human beings" under Nevada law.
Sponsored bills
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 summarySB 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.
Maddy summarySB 260 requires employers with outdoor workers to implement specific measures when wildfire smoke causes air quality index (AQI) levels of 150 or higher. It mandates employers to monitor air quality, provide clear alerts to workers about smoke exposure, establish systems for workers to report symptoms, and offer training on risks and protective measures. The bill prohibits outdoor critical tasks when AQI reaches 200 or higher and exempts mining operations, commercial trucking, emergency services, and businesses with 10 or fewer employees. These requirements become fully effective January 1, 2026, after initial regulatory development.
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 summarySB 460 requires Nevada public elementary schools to develop specific plans to improve student achievement, including measurable goals and consequences for principals who fail to meet them. It updates annual school accountability reports to include details about these improvement plans and revises how teacher vacancies are reported. The bill also creates a School District Oversight Board that can assume management of a struggling school district during a state of emergency, with defined membership and activation requirements. These changes directly affect school districts, elementary school principals, and accountability reporting systems across Nevada.
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 summarySB 378 requires healthcare providers to give patients their electronic health records within 7 business days at no cost, and prohibits using paid health information exchanges to meet electronic record-keeping requirements. It updates licensing for independent emergency medical centers, mandating no fees for licenses, requiring urgent care during all operating hours, and obligating the state to collect and publicly share data on these centers' operations and patient outcomes. The bill also limits electronic health information exchange rules to specific providers (like doctors and hospitals) while exempting small practices from some requirements, though they must still provide records electronically upon patient request.
Maddy summarySB 233 creates a Nevada-grown food and farm product certification program requiring vendors to sell at least 51% Nevada-produced items to qualify. It also establishes a State Department of Agriculture Task Force on Farm Labor to study workforce development and visa programs, with a requirement to submit a report to the 2027 Legislature. The bill appropriates $800,000 for the Home Feeds Nevada Agriculture Food Purchase Program. This directly affects Nevada farmers, food vendors, and agricultural businesses by creating new certification standards and labor workforce studies.
Maddy summarySB 295 updates regulations for sidewalk vendors and compact food carts in counties or cities with populations of 100,000 or more (currently Clark and Washoe Counties). It requires local health boards to create and post online in multiple languages clear guidelines, approved food lists, and model menus for vendors. Compact food cart vendors must register annually with the health board, pay a fee (if established), and follow posted rules, while sidewalk vendors must comply with the published guidelines. The bill also exempts compact food carts and vendors selling only whole produce or prepackaged non-hazardous food from being classified as "food establishments," avoiding certain existing regulatory requirements.