Photo of James Ohrenschall
D Nevada Senate · District 21

Sen. James Ohrenschall

Compare
Total votes
2,043
all sessions
Attendance
93%
141 missed
Lower than 80% of chamber peers
With party
98%
of cast votes
Lower than 90% of chamber peers
Bipartisan score
1%
crosses aisle rarely
Higher than 90% of chamber peers
Sponsored
305
bills & resolutions
Near the chamber average
Committees
4
assignments
305 bills and resolutions

Sponsored bills

Total
305
Primary
140
Co-sponsor
165
This page
305
matching current filters
Co-sponsor SB 217
Vetoed · Nevada Senate · Co-sponsor
Makes revisions relating to reproductive health care. (BDR 40-24)

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.

Vetoed Jun 12, 2025 1 co-sponsor
Co-sponsor SB 262
Signed into law · Nevada Senate · Co-sponsor
Revises provisions relating to graduate medical education. (BDR 18-120)

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.

Signed into law Jun 11, 2025 1 co-sponsor
Co-sponsor SB 300
Signed into law · Nevada Senate · Co-sponsor
Makes revisions relating to Medicaid. (BDR 38-110)

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.

Signed into law Jun 11, 2025 1 co-sponsor
Co-sponsor SB 460
Signed into law · Nevada Senate · Co-sponsor
Revises provisions relating to education. (BDR 34-16)

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.

Signed into law Jun 11, 2025 1 co-sponsor
Co-sponsor SB 352
Vetoed · Nevada Senate · Co-sponsor
Revises provisions relating to health care. (BDR 57-712)

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.

Vetoed Jun 11, 2025 1 co-sponsor
Co-sponsor SB 378
Vetoed · Nevada Senate · Co-sponsor
Makes revisions relating to health care. (BDR 40-705)

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.

Vetoed Jun 11, 2025 1 co-sponsor
Primary SB 179
Signed into law · Nevada Senate · Lead sponsor
Revises provisions relating to discrimination. (BDR 18-35)

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.

Signed into law Jun 11, 2025 0 co-sponsors
Co-sponsor SB 400
Signed into law · Nevada Senate · Co-sponsor
Revises provisions relating to education. (BDR 34-108)

Maddy summarySB 400 ensures continuity of special education services for students with disabilities who transfer schools. It requires schools to provide comparable services to the previous Individualized Education Program (IEP) during transition, until a new IEP is adopted (for in-state transfers) or an evaluation and new IEP are completed (for out-of-state transfers). The bill also mandates that teachers must pass subject-specific competency tests and obtain Department of Education endorsements to teach music or art in most schools, with exceptions for small districts (under 200,000 students) and very small schools (under 500 students), plus temporary exemptions during teacher shortages. These changes align Nevada’s policies with federal special education requirements and update teacher certification standards.

Signed into law Jun 9, 2025 1 co-sponsor
Co-sponsor SB 305
Vetoed · Nevada Senate · Co-sponsor
Revises provisions relating to interscholastic activities. (BDR 34-1007)

Maddy summarySB 305 requires Nevada’s Interscholastic Activities Association (NIAA) to officially sanction lacrosse as a school sport by January 2026, establishing specific rules for eligibility, competition, season timing, and safety. It mandates the NIAA to create the "Pipeline Infrastructure Fund" to support school sports infrastructure, including hiring staff and managing programs, and allows the fund to accept donations. The bill also directs the NIAA to conduct a study on developing student athletes into professionals, with findings reported to lawmakers by 2027. These changes directly affect Nevada public school students participating in interscholastic sports and the NIAA’s operational responsibilities.

Vetoed Jun 9, 2025 1 co-sponsor
Co-sponsor SB 280
Signed into law · Nevada Senate · Co-sponsor
Makes an appropriation to the University of Nevada, Las Vegas, School of Dental Medicine for cleft and craniofacial health care. (BDR S-746)

Maddy summarySB 280 appropriates $2.9 million from the State General Fund to the University of Nevada, Las Vegas School of Dental Medicine to create a dedicated cleft and craniofacial medical team. The team must provide dental and medical care to children under 3 years old, and potentially children with special needs aged 3-18, through clinics open at least 4 hours per day, one day monthly (or more if resources allow). The bill requires the team to obtain accreditation from the American Cleft Palate Craniofacial Association and establish partnerships with other Nevada educational institutions. All funds must be spent by September 17, 2027, with unused amounts reverting to the State General Fund. This bill directly affects children in Nevada with cleft lip/palate or craniofacial conditions who would access these new services.

Signed into law Jun 9, 2025 1 co-sponsor
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