NevadaAB36083rd Regular Session (2025)HouseWALLET

AN ACT relating to health care; requiring certain physician assistants and advanced practice registered nurses to examine pregnant women for the discovery of syphilis; requiring the use of a rapid or point-of-care test when testing certain pregnant women for syphilis in certain circumstances; requiring certain medical facilities to develop a policy to ensure compliance with such requirements; exempting certain medical facilities from requirements relating to testing for syphilis; authorizing the discipline of certain health care facilities that violate such requirements; requiring Medicaid to reimburse for rapid or point-of-care testing for syphilis performed under certain circumstances separately from reimbursement for other prenatal care; and providing other matters properly relating thereto.

Sponsored By: Sponsor information unavailable

Signed by Governor

BDR 40-745

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Bill Overview

Analyzed Economic Effects

6 provisions identified: 3 benefits, 3 costs, 0 mixed.

Medicaid pays for rapid syphilis tests

Beginning January 1, 2026, Nevada Medicaid covers testing, treatment, and prevention for sexually transmitted diseases, including syphilis, for all enrollees. Medicaid will pay separately for rapid or point-of-care syphilis tests used in prenatal care when federal matching funds are available. The state pays the nonfederal share and seeks any needed federal approval.

Stronger syphilis checks during pregnancy

Beginning January 1, 2026, your prenatal care must include checks for syphilis. At your first visit, a blood sample is taken; testing also happens between weeks 27 and 36, and at delivery in some cases. Emergency rooms and clinics must ask if you are pregnant and make sure you get a syphilis test. If you have no history and were not tested in the last 3 months, they may use a rapid or point-of-care test; if you have a syphilis history, a standard blood test is required. If a test shows infection, your clinician must ask your consent and start treatment if able, or refer you for treatment. You may refuse blood draw or testing; the provider must not test and must record your refusal. Tests must be ones the State Board of Health recognizes.

Some rural clinics are exempt

Beginning January 1, 2026, rural clinics owned or run by the state or a local government are exempt from the facility testing and written policy rules. If you use one of these clinics, it does not have to perform the onsite test or keep the policy this law requires of other facilities.

Hospitals face testing policy and fines

Beginning January 1, 2026, hospitals with emergency or labor units and non-hospital clinics must write a policy to follow the syphilis testing rules. The policy must include how to record refusals and follow consent law and clinical advice that does not conflict. Breaking these rules can lead to license denial, suspension, or revocation. The state can also order fixes and fine a facility up to $5,000 per day for each violation, plus interest.

State labs give free syphilis tests

Beginning January 1, 2026, syphilis tests done in state laboratories are free. If your sample is tested in a state lab, you are not charged for the test.

Local governments pay added costs

Beginning January 1, 2026, the usual state rule that limits extra local government costs does not apply to this law. Local governments may have to pay new expenses to carry it out.

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Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 63 • No: 0

Senate vote 5/21/2025

Final Passage - Senate (1st Reprint)

Yes: 21 • No: 0

House vote 4/22/2025

Final Passage - Assembly (1st Reprint)

Yes: 42 • No: 0

Actions Timeline

  1. Chapter 126.

    5/30/2025legislature
  2. Approved by the Governor.

    5/30/2025legislature
  3. Enrolled and delivered to Governor.

    5/27/2025legislature
  4. In Assembly. To enrollment.

    5/22/2025House
  5. Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.

    5/21/2025Senate
  6. Taken from General File. Placed on General File for next legislative day.

    5/20/2025Senate
  7. Read second time.

    5/19/2025Senate
  8. From committee: Do pass.

    5/16/2025Senate
  9. Read first time. Referred to Committee on Health and Human Services. To committee.

    4/29/2025Senate
  10. In Senate.

    4/28/2025Senate
  11. To Senate.

    4/25/2025House
  12. From printer. To engrossment. Engrossed. First reprint.

    4/25/2025House
  13. To printer.

    4/22/2025House
  14. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.)

    4/22/2025House
  15. Dispensed with reprinting.

    4/21/2025House
  16. Read second time. Amended. (Amend. No. 183.)

    4/21/2025House
  17. Placed on Second Reading File.

    4/21/2025House
  18. From committee: Amend, and do pass as amended.

    4/21/2025House
  19. Notice of eligibility for exemption.

    3/27/2025House
  20. From printer. To committee.

    3/5/2025House
  21. Read first time. Referred to Committee on Health and Human Services. To printer.

    3/4/2025House

Bill Text

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