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 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 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 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 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 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 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.