Maddy summarySB 182 requires hospitals in Clark and Washoe Counties (with populations over 100,000 and more than 70 beds) to establish three new committees: one for nursing staff, one for technical staff (e.g., IT, equipment maintenance), and one for service staff (e.g., food service, housekeeping). It sets specific patient-to-nurse ratio limits for different hospital units and mandates that all committees collaborate to create a documented staffing plan including these ratios. Hospitals must also report annually on all committees’ activities and maintain records to verify compliance with staffing rules. The bill adds enforcement tools, including inspections by the health division and protections for staff reporting violations, while allowing temporary ratio deviations during declared emergencies.
Sponsored bills
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.
Maddy summaryAB 467 allows courts to order involuntary mental health treatment for criminal defendants found incompetent who pose a danger to themselves or others, provided treatment is needed to regain competence. It creates new options for treatment in county jails (for Clark and Washoe Counties) instead of separate facilities, requires better record-sharing between providers, and exempts mental health staff from following psychiatric advance directives in these cases. The bill directly affects criminal defendants, mental health facilities, county governments (responsible for transportation costs), and juvenile courts handling child placements. Key mechanisms include court-ordered admission criteria, jail-based treatment facilities, and updated data tracking for defendants in mental health facilities.
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 123 makes it a crime to threaten or intimidate a candidate for public office or their family members regarding bodily injury or property damage. It specifically targets threats that cause reasonable fear of being carried out, with first offenses classified as misdemeanors and repeat offenses as gross misdemeanors. The bill creates a process where candidates can report threats to the Secretary of State, who must investigate and refer serious cases to the Attorney General if reasonable suspicion exists. This law directly affects election candidates and their families by adding criminal penalties for targeted threats, while explicitly protecting constitutionally protected free speech.
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.
Maddy summarySB 132 appropriates $500,000 from the State General Fund to the Nevada Clean Energy Fund to support qualified clean energy projects in Nevada. This funding covers temporary project funding ("bridge funding"), technical assistance for state/local agencies, and administrative costs for the fund. The fund must submit two reports detailing how the money was spent to the Interim Finance Committee by late 2026 and 2027, and any unused funds must be returned to the State General Fund by September 17, 2027. The bill directly affects clean energy projects receiving grants and requires strict financial accountability for the state funds allocated.