All Roll Calls
Yes: 47 • No: 15
Sponsored By: Angela D. Taylor (Democratic), Julie Pazina (Democratic), Michelee "Shelly" Cruz-Crawford (Democratic), RobertaAssistant Majority Leader Lange (Democratic)
Signed by Governor
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6 provisions identified: 4 benefits, 1 costs, 1 mixed.
Beginning January 1, 2026, insurers cannot require prior authorization for the OB/GYN services covered by this law. Insurers and hospital or medical service corporations must file their prior-authorization procedures with the Insurance Commissioner. They must answer any prior-authorization request within 20 days unless another law requires a faster reply. Their procedures may not discriminate among licensed providers.
Beginning January 1, 2026, Nevada Medicaid lets a covered woman get OB/GYN care without prior authorization or a referral. She may choose an OB/GYN as her primary care doctor if the provider meets the Department’s PCP rules and agrees to the same terms as other PCPs.
Beginning January 1, 2026, if the state offers a self-insured health plan, it must follow these OB/GYN access rules. Women in those plans can get covered OB/GYN care without prior authorization or a referral and may choose an in-network OB/GYN as their primary care doctor if plan PCP rules are met.
Beginning January 1, 2026, most private health plans must let a covered woman get OB/GYN care without prior authorization or a referral. Plans must also let her choose an in-network OB/GYN as her primary care doctor if the doctor meets the plan’s PCP rules and agrees to the same terms as other PCPs. This applies to individual and group policies, HMOs, managed care plans, hospital and medical service contracts, fraternal society benefit contracts, and voluntary purchasing groups.
Beginning January 1, 2026, the usual limit in NRS 354.599 does not apply to extra local government costs tied to this law. Local governments can spend what they need to comply.
Agencies may start writing rules and preparing now. All coverage and access requirements apply to plans delivered, issued, or renewed on or after January 1, 2026. Section 10 takes effect immediately.
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Angela D. Taylor
Democratic • Senate
Julie Pazina
Democratic • Senate
Michelee "Shelly" Cruz-Crawford
Democratic • Senate
RobertaAssistant Majority Leader Lange
Democratic • Senate
Edgar Flores
Democratic • Senate
MelanieChief Majority Whip Scheible
Democratic • Senate
Rochelle T. Nguyen
Democratic • Senate
SkipDeputy Majority Whip Daly
Democratic • Senate
All Roll Calls
Yes: 47 • No: 15
House vote • 5/22/2025
Final Passage - Assembly (1st Reprint)
Yes: 27 • No: 15
Senate vote • 4/1/2025
Final Passage - Senate (As Introduced)
Yes: 20 • No: 0
Chapter 288.
Approved by the Governor.
Enrolled and delivered to Governor.
Assembly Amendment No. 564 concurred in. To enrollment.
In Senate.
Read third time. Passed, as amended. Title approved, as amended. (Yeas: 27, Nays: 15.) To Senate.
From printer. To engrossment. Engrossed. First reprint.
Read second time. Amended. (Amend. No. 564.) To printer.
From committee: Amend, and do pass as amended.
Read first time. Referred to Committee on Commerce and Labor. To committee.
In Assembly.
Read third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.) To Assembly.
Read second time.
From committee: Do pass.
From printer. To committee.
Read first time. Referred to Committee on Commerce and Labor. To printer.
As Enrolled
As Introduced
Reprint 1
SB119 — AN ACT relating to economic development; requiring certain reporting relating to the NV Grow Program; requiring the Division of Small Business and Entrepreneurship Development of the College of Southern Nevada to develop, create and oversee the Program; revising certain qualifications for a business to participate in the Program; making an appropriation; and providing other matters properly relating thereto.
AB12 — AN ACT relating to unemployment compensation; revising requirements for obtaining judicial review of a decision of the Board of Review concerning a claim for unemployment benefits; and providing other matters properly relating thereto.
SB460 — AN ACT relating to education; revising provisions governing plans to improve academic achievement; providing for the waiver of certain reporting requirements; revising provisions governing the annual report of accountability for a school district; revising the duties of the Commission on Innovation and Excellence in Education; providing for the impaneling of a Public Education Oversight Board; revising provisions governing boards of trustees of certain school districts; establishing certain measures for the designation of focus and priority school districts, sponsors of charter schools and public schools; revising provisions governing the Commission on School Funding; revising provisions governing the Early Childhood Literacy and Readiness Account; revising provisions governing prekindergarten programs; revising provisions governing assessments used to assess the literacy of certain pupils; revising provisions governing membership of the State Public Charter School Authority; revising provisions governing the formation of charter schools, the termination and amendment of charter contracts and the employment of teachers by charter schools; revising provisions governing the Nevada Educational Choice Scholarship Program; revising certain provisions governing instruction in English language arts; creating the Commission on Recruitment and Retention; revising provisions relating to the Commission on Professional Standards in Education; revising provisions governing background investigations of applicants for certain licenses; establishing requirements governing the hiring of a superintendent of schools; revising provisions governing certain evaluations; requiring the creation of a differential pay scale for certain teachers and administrators; creating the Education Service Center; establishing certain requirements for the Board of Regents of the University of Nevada; creating certain accounts and programs concerning teacher apprenticeships; making appropriations; and providing other matters properly relating thereto.
SB81 — AN ACT relating to education; requiring the Department of Education to create and conduct certain surveys of public school employees; revising provisions governing the reimbursement of certain hospitals or other facilities that provide educational services; revising terminology related to services provided to certain students; revising various reporting requirements relating to education; revising provisions governing the authority of the State Board of Education; revising provisions governing the ratios of pupils to licensed teachers; eliminating certain audits of empowerment schools; revising provisions governing the licensure of administrators; repealing provisions governing the Nevada Teacher Advancement Scholarship Program and the Incentivizing Pathways to Teaching Grant Program; revising provisions governing certain scholarship and grant programs for students in education and related fields of study; requiring the Department to create a program of block grants for such scholarship and grant programs; eliminating provisions requiring the Department to recommend that a minimum amount be spent by public schools on textbooks and other instructional supplies; and providing other matters properly relating thereto.
SB494 — AN ACT relating to state government; creating the Nevada Health Authority; creating certain divisions and offices within the Authority; providing for the appointment of officers and the employment of staff for the Authority; establishing requirements governing procurement by the Authority; creating the Nevada Health Authority Gift Fund; prescribing the duties of the Authority and its divisions and officers; transferring to the Authority the responsibility for operating various programs and administering various provisions; revising the name of certain agencies; revising certain terminology; eliminating the Division of Health Care Financing and Policy of the Department of Health and Human Services; revising provisions governing the operation of the Public Employees' Benefits Program and Medicaid; requiring certain reporting on the costs of health insurance for retired state employees; authorizing the Authority to require the reporting of certain information on the cost of certain prescription drugs; revising the membership and duties of the Board of Directors of the Silver State Health Insurance Exchange; providing for a study of opportunities for the Board of the Public Employees' Benefits Program to directly contract with certain providers of health care; providing for a study of and the development of a plan to transfer certain additional functions to the Authority; and providing other matters properly relating thereto.
SB502 — AN ACT relating to projects of capital improvement; authorizing certain expenditures for certain projects of the Executive and Legislative Departments of the State Government; levying a property tax to support the Consolidated Bond Interest and Redemption Fund; making appropriations; and providing other matters properly relating thereto.
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