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 summarySB 317 revises industrial insurance rules to improve access to care for injured workers and clarify claim processes. It requires insurers to maintain a list of approved doctors and chiropractors (and now includes "industrial providers" like nurses or clinics) that workers can choose from, with insurers replacing removed providers within 60 days. The bill also changes proof standards for stress-related injuries from "clear and convincing evidence" to standard medical evidence, and expands when benefit penalties apply for delays or withheld evidence. These changes directly affect insurers, injured workers, and healthcare providers in the industrial insurance system.
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 376 modifies Nevada's industrial insurance rules to help certain firefighters, police officers, and arson investigators with occupational lung or heart disease. It allows these workers to choose their own treating physician or chiropractor when the state's official panel has fewer than 12 qualified providers in their specialty who accept new patients and can schedule appointments within 30 days. The bill also establishes a reimbursement process: if the worker or their insurer pays for treatment upfront, the employer or insurer must reimburse the full cost within 30 days (with a 2x penalty for delays). These changes specifically apply to claims filed under NRS 617.455 and 617.457.
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 300 requires Nevada Medicaid to cover mental health services provided by mental health counselors - including substance use and gambling counselors - at federally-qualified health centers, expanding existing coverage that already includes psychiatrists, psychologists, and other specialists. This directly affects Nevada Medicaid beneficiaries who access care at these centers and mental health counselors who can now bill Medicaid for their services. The bill mandates the state to seek federal funding for this expanded coverage and aligns Nevada law with recent federal changes allowing Medicaid reimbursement for these services. It does not change eligibility for beneficiaries but adds specific provider types to covered services under Medicaid.
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 summaryNevada's SB 179 requires the Nevada Equal Rights Commission to consider whether discrimination claims in housing, employment, or public accommodations were motivated by antisemitism during investigations. The bill directly affects the Commission's investigative process and individuals filing discrimination complaints. It adopts the International Holocaust Remembrance Alliance's 2016 definition of antisemitism, including its contemporary examples, as the standard for evaluating such claims. This policy change specifically adds antisemitism as a factor to be assessed in investigations, without altering existing protections against discrimination.
Maddy summarySB 100 strengthens election accountability in Nevada by making it a felony for election officials to miss statutory deadlines, punishable by up to 4 years in prison and a $5,000 fine. It requires officials to notify the Secretary of State and Attorney General if they cannot meet deadlines, and allows the Secretary to petition courts to take over duties if officials fail. The bill also expands approval requirements to voting system vendors, mandating Secretary of State approval before cities or counties can switch vendors. These changes aim to ensure timely election administration and system reliability for voters and local election officials.