NevadaSB49483rd Regular Session (2025)SenateWALLET

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.

Sponsored By: Senate Committee on Finance

Signed by Governor

BDR 18-1116

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Bill Overview

Analyzed Economic Effects

74 provisions identified: 36 benefits, 6 costs, 32 mixed.

Federal Medicaid and CHIP funds flow

Nevada accepts federal Medicaid and CHIP money into the State Treasury for use by the Nevada Health Authority. The Governor may also approve taking added federal funds for Authority programs. This keeps Medicaid and CHIP funding available for eligible residents.

Higher surety bonds for care facilities

Licensed care facilities must file a surety bond with the Health Care Purchasing and Compliance Division when applying or renewing. Bond amounts: under 7 employees $5,000; 7–25 employees $25,000; more than 25 employees $50,000. Bonds are payable to the Aging and Disability Services Division. Existing exemptions and suspension rules still apply.

Stronger fines for unsafe facilities

The Health Care Purchasing and Compliance Division can fine facilities that break patient‑safety laws and do not self‑report. Fines are up to $100 per day for not reporting a sentinel event, up to $1,000 per month for not having or using a safety plan, and up to $2,000 for not having or meeting a safety committee. Licensing boards must report when hospitals, clinics, or medical societies fail to send required reports. After a hearing, the Division may fine a facility up to $10,000 for each failure to report. Money from some fines must fund patient‑safety training.

State and local employee health plan changes

The Program uses one risk pool to set rates and coverage for active and retired state employees and their dependents. The Board can offer exclusive group insurance to local governments, with separate rates for their groups. Agencies that join must stay at least four years. Retirees whose last continuous enrollment began after November 30, 2008 lose Program participation when the local agency’s contract ends. The Board may exclude groups covered by collectively bargained plans or certain trusts.

Stronger privacy for your health records

People cannot use or publish your identifiable electronic health data for non‑care reasons, except where HIPAA allows. The law bans using EHR or health information exchange data for marketing. You cannot be forced to join a health information exchange. Before anyone retrieves your records from an HIE, you must be fully informed and give clear, affirmative consent in the way the Director requires.

Stronger privacy for your health records

Health information exchanges must be certified by the Authority and follow rules for security, consent, and interoperability. The Authority sets statewide EHR rules, but no one is forced to use an HIE, and providers can get waivers if they lack systems. Accessing EHR or HIE data without permission is a misdemeanor and creates liability for damages. The Authority must explain how to file privacy complaints, including HIPAA issues, and patients must be told when a breach happens. If a child received care without a parent’s consent, that EHR/HIE info cannot be shared with the parent without the child’s consent. If you agreed to HIE retrieval, you can ask for a copy of your record at any time under HIPAA.

Coverage for noncitizens and prenatal care

Noncitizens who meet the federal “qualified” definition can get Medicaid or CHIP if they follow the Authority’s rules. The Division may provide prenatal care to indigent pregnant women at public or nonprofit hospitals and will set eligibility and payment rules. These changes expand access to care for vulnerable groups.

One‑stop coverage and real‑time enrollment

The Director hires experts to build a plan that helps people in PEBP, Medicaid, CHIP, the Exchange, and a Public Option pick more affordable coverage with stronger networks. The Director reports progress every odd‑numbered year. The Authority must seek any federal waivers and Medicaid plan changes needed so the Exchange can make real‑time eligibility and enrollment decisions.

Stronger Medicaid drug and doula coverage

Medicaid must cover some drugs even if they are not on the preferred list. This includes hepatitis C drugs, opioid use disorder medicines, and drugs for safe withdrawal. If a listed antipsychotic or anticonvulsant fails for you, Medicaid covers another option right away. Doulas can enroll as Medicaid providers and get paid. The Authority cannot cut Medicaid or CHIP benefits in ways that break federal law.

Stronger Medicaid managed‑care access and help

For Medicaid managed care, HMOs must negotiate in good faith with community health centers, university hospitals, and the medical school. The Authority sets up a beneficiary support system to help enrollees get services and solve problems. The website shows plan details so people can compare HMO options.

New Health Authority runs Medicaid and CHIP

The law creates the Nevada Health Authority with three divisions. The Authority now runs Medicaid and CHIP as the single state agency. The Director adopts required federal and state plans and may accept extra federal funding with the Governor’s approval. Any contract that spends federal Medicaid money must have the Director’s signature. This central control keeps programs coordinated and funded.

Public plans can use state drug deals

Counties, school districts, cities, and some public issuers can adopt the Authority’s preferred drug list and buy through its drug contracts after notifying the Authority. The Department of Corrections can also buy medicines through the Authority’s agreements. The Public Employees’ Benefits Program may use the Authority’s procurement services.

New Medicaid recovery rules and fewer appeals

The Nevada Health Authority now runs Medicaid and related health programs and sets efficiency goals. The Authority can file liens, foreclose, and recover Medicaid costs, and it is named in recovery notices and property reconveyance. Managed care plans serving Medicaid under the State Plan do not have to offer certain external reviews for denials. The Authority and its Medicaid Division enforce the Plan, the prior Financing Division is eliminated, and a Medicaid gift account can receive donations for care.

Counties pay new health assessments

Each county must pay a quarterly assessment set by the Nevada Health Authority for certain services. A county may ask to run those services itself, with the Governor’s approval and Interim Finance Committee ratification. An approved exemption takes effect at least six months later. The assessment may affect local budgets and taxes.

Stronger rules for music therapists

The Nevada Health Authority is now the licensing office for music therapists. Board and Division staff must file complaints they see, and the Division keeps complaint records for at least 10 years. The Division can refuse, suspend, or revoke a license and fine up to $500 per violation; final orders are public. Practicing without a valid license is a misdemeanor, and the Division can ask a court to stop illegal practice. If a court reports child‑support nonpayment, a license is suspended on the 30th day unless a compliance letter arrives; it is reinstated when that letter comes.

Bulk drug buying with key protections

The Authority creates a preferred drug list and negotiates purchases for Medicaid, CHIP, and public or nonprofit plans that opt in. Some medicines are protected from restrictions, including HIV antiretrovirals, transplant anti‑rejection drugs, and antihemophilic drugs. The list must include drugs for sickle cell disease and HIV prevention (PrEP). New or newly evidenced drugs are covered with prior authorization until the Board reviews them. Central buying can lower prices but may narrow on‑formulary choices.

Changes to child care and foster review

If your plan includes child care help and you lose eligibility for listed reasons, the Division may keep helping with child care for up to 12 straight months. The Division must also review specialized foster placements and require fixes when care is not appropriate. Reviews may use information submitted to the Authority under Medicaid.

New Medicaid/CHIP processing and appeal rules

The Authority can let state, local, or tribal agencies handle Medicaid or CHIP eligibility and hearings if they follow federal and state rules under written agreements. Those agreements must allow audits, and delegates need written approval to spend state or federal money on outside contracts. If CHIP is denied, you get written notice and 30 days to ask for a hearing, plus later court review. Medicaid applications must warn about estate recovery and that signers can be personally liable if they fail to report required information.

Public assistance: more eligible, stricter repayments

Qualified noncitizens who meet federal rules can get TANF or similar federal assistance. The Department runs non‑Medicaid public assistance and manages the federal funds. If non‑Medicaid public assistance was paid in error, the Department must seek repayment from the recipient, their estate, or the signer. The Director can waive repayment for non‑intentional errors or hardship. Gifts and grants go into a special account and must be used only for public assistance.

Authority sets its own purchasing rules

The Nevada Health Authority runs its own buying and contracting, outside most state purchasing laws. It can post and award its own bids, join other governments’ contracts, and set preferences for in‑state and veteran‑owned vendors. Rules protect confidential bids, set appeals and bonds, and include special steps for drug purchasing. These changes can shift vendor opportunities and how care and drugs are bought.

Faster hospital safety reporting and public data

Staff must report a sentinel event to the patient safety officer within 24 hours. The officer must report to the Division and the facility within 13 days (or 14 days if the officer found it). The Division keeps reports secure and posts annual statewide results with types, counts, rates, and reporting facilities. Public reports compare facilities with standard, risk‑adjusted methods and protect identities. By March 1, facilities that reported must send a yearly summary and safety plan; the Authority posts each plan, and the Division sends a summary by June 1. The Division posts trend findings at least quarterly and records corrective actions without naming people. If the Division audits or investigates, the facility must provide information and pay the actual audit costs. Facilities averaging 25+ patients per business day must join the CDC surveillance system within 120 days.

Infection control staff and safety committees

Every medical facility must name an infection control officer who serves on the safety committee and monitors infections. Facilities with 175 or more beds must use a certified or trained officer, ensure at least 4 hours of training each year, and have one trained worker for every 100 occupied beds. Each facility must have a patient safety committee that meets monthly, includes clinical leaders and an executive member, adopts safety policies and checklists, and makes quarterly reports. Committee records are legally privileged.

Tougher penalties for aid and Medicaid fraud

The law makes getting $100 or more in public assistance, Medicaid, or CHIP by lying a category E felony. Courts must order restitution. The Division can take sworn testimony and issue subpoenas during eligibility checks, and a court can force compliance. These steps aim to protect program funds while adding stronger penalties for fraud.

All-payer claims database rules

The Office sets up an all‑payer claims database if federal money is available. It must use secure uploads, review data quality, and create an advisory committee with providers, payers, consumers, and major submitters. Rules must protect privacy, define submissions and releases, and require vendors to have HITRUST certification and meet NIST standards. Penalties for non‑submission can be up to $5,000 per day, and penalty money must fund program work and patient education. The Office may contract for services and accept gifts and grants to run the database.

County Medicaid payments and hospital funding

Counties can reduce local aid by amounts Medicaid or the indigent care fund pays. Counties may send intergovernmental transfers to the Medicaid Division to draw federal match and support hospital payments, under state rules. In counties with under 100,000 people, the county must remit a Director‑set amount for Medicaid’s nonfederal share, capped at 8 cents per $100 of assessed value.

County payments and hospital Medicaid matching

The Fund’s Board may send money to the Medicaid Division to draw federal matching funds for hospital payments; money is returned if federal approval is denied. Each county must pay quarterly assessments set by the Division to cover local services. A county may seek to run those services itself and ask for an exemption, which takes effect after at least six months.

Drug price transparency and penalties

By February 1 each year, the Authority publishes drug lists, including essential diabetes drugs and drugs with large price hikes, with wholesale costs. By June 1, it issues a report on drug prices, impacts on premiums and cost‑sharing, and holds a public hearing. Entities that do not submit required drug‑cost data can be fined per day: up to $500 for pharmacies and sales reps, up to $5,000 for manufacturers, PBMs, wholesalers, and nonprofits; money goes to transparency and education. The Authority and its staff are not liable for website errors or missing listings about pharmacies, drugs, or nonprofits.

Hospital projects need approval; prices posted

In small counties and certain small cities, new health‑facility construction over $2,000,000 (or a higher amount set by the Authority) needs written Director approval. In counties with 100,000+ people, closing or converting a hospital also needs Director approval. Hospitals and surgery centers must send monthly data within 45 days; the Authority posts prices, volumes, and quality measures quarterly. Every odd‑numbered year by July 1, the Authority checks funding and may pause some program parts, but not those in NRS 439A.240 and 439A.250. The Authority can hire analysts and only publish data that pass accuracy and confidentiality checks.

More health data and hospital transparency

Hospitals must use a standard discharge form and send required data every month. Large hospitals must post financial and capital reports on the Authority’s website. The Authority posts each facility’s latest injury and illness summaries and key safety reports online. More coverage entities can be required to upload claims to the all‑payer claims database. Data submitters are protected from liability unless they act in bad faith; the Office is not liable for errors that cause wrong database outputs. Each year by October 1, the Director reports on the Authority’s work and results.

New drug formularies and Medicaid safeguards

The Authority is added to prescription‑drug reporting for Medicaid and CHIP. Nonprofit plans and state employee plans may adopt the Authority’s preferred drug list and use its purchasing deals, after giving notice. Anti‑discrimination rules for 340B drugs remain, but when a PBM manages Medicaid under contract with the Authority, the program can act to prevent duplicate discounts and protect Medicaid finances.

Coverage guaranteed for SUD treatment

If you have insurance, you get required benefits for alcohol or substance use disorder treatment. Coverage applies when care is in certified or licensed facilities named in the law. This protects access to needed treatment.

Employer plans cover more SUD treatment

Employer health plans must recognize alcohol and substance use treatment in hospitals and other facilities the Health Care Purchasing and Compliance Division licenses. Plans still cover programs certified by the Division of Public and Behavioral Health.

Family planning help in assistance programs

The Division may provide family planning services in any county. It may share birth control information and set referral policies for people on public assistance. This can make services and referrals easier to get.

Help choosing senior care and medicines

The Authority provides a brochure and website to help people age 55+ pick the right level of care and housing. The materials show if places take Medicaid or Medicare and how to see their violation history. Licensed nursing facilities may keep a stock of emergency drugs under set rules, helping residents get urgent medicine faster.

Stronger privacy for assistance records

The Division must tightly limit how it keeps and uses records about people who apply for or get public assistance. Agencies can only use the data to run the programs. Blindness‑registry data can be shared only for listed purposes, like running SSI and State Supplementary Assistance.

School costs covered for hospitalized kids

Hospitals or licensed facilities that run a private school for children in residential treatment can ask the child’s school district or charter school to pay for education costs. The district must verify the child is a patient or resident, and the child must attend more than 7 school days. Extra rules apply to out‑of‑state programs.

Schooling for kids in treatment centers

Education agencies and the Health Care Purchasing and Compliance Division can agree to provide school services at licensed hospitals or residential treatment facilities for children. Money for a placed child’s schooling can be paid over for those services. The same applies to certain accredited out‑of‑state facilities that meet federal rules.

New Medicaid billing codes allowed

The Authority can create new provider billing codes to help qualified projects bill Medicaid for covered services. This can open new reimbursement paths for small provider practices.

Medicaid applications can register voters

The Health Authority and any agency it designates for Medicaid intake act as automatic voter registration agencies. If they collect enough information to show you are eligible to vote, they process voter registration when you apply for Medicaid through their system.

Food safety and warnings under Authority

The Health Authority now adopts Food Code editions and handles food-related approvals. It can set alternative pregnancy alcohol-warning language and give donated signs to businesses that must post them. Selling shellfish without an Authority‑approved stamp is a gross misdemeanor.

Oral health advisory group formed

A 13‑member Advisory Committee on the State Program for Oral Health is created. Members serve 2‑year terms starting July 1, do not get a salary, and may receive per diem and travel pay while on committee business. The committee must give an annual report to the Director.

Secure site for background checks

The Authority can run a secure website for required background checks. Each client only gets access to the data needed for that check, and client accounts cannot share a person’s data. Authorized Authority staff can access the site without an account or fees. All information on the site must be protected and backed up under state IT rules.

Sentinel events now reported to Health Authority

Medical boards and the nursing board must immediately report sentinel events to the Health Care Purchasing and Compliance Division. Employees and nurses who report such events stay protected from retaliation. The Attorney General must notify the Division within 30 days if a medical facility or lab is fined for certain violations. The Division can get training program lists and discipline records to support oversight. Sentinel event reports stay confidential and are generally not public or usable in court.

Clear rules for treatment drugs in facilities

The law confirms that giving controlled substances to a patient for treatment at licensed rehab clinics and hospitals is allowed. Licensed rehab clinics and certain authorized sites are covered by exceptions to drug‑house laws. Chart orders and the definition of hospital are updated to match the Authority’s licensing. This gives providers and patients clearer, consistent rules.

Donation groups need state certification

Nontransplant anatomical donation organizations must be certified by the Authority’s compliance division and follow standards. They must report how many bodies or parts they procure and where they go. Running such an organization without certification or breaking standards can bring a category C felony or up to a $50,000 fine.

Licensing protection for reproductive providers

The law keeps the rule that a license cannot be disciplined only for providing reproductive health care. It updates the named licensing office to the Health Care Purchasing and Compliance Division. This preserves existing protections under the new agency structure.

More tools to fund oral health work

The Authority can accept grants, gifts, and waivers for oral health programs. Money goes into a separate state account, earns interest, and does not lapse. The Director manages the account.

New health authority leadership and rules

The Governor appoints the Authority’s Director, who must have advanced training and broad management and finance experience. Two deputies oversee operations and health care financing, including budgets for Medicaid, CHIP, the Exchange, and the Public Option. The Director appoints division leaders, including the Medicaid Administrator, who can add deputies and clinical officers. Staff who are also health care providers working on Medicaid or CHIP must disclose conflicts and recuse when needed.

New Patient Protection Commission

The law creates a Patient Protection Commission inside the Nevada Health Authority. The Director appoints 12 voting members with the Governor’s approval and adds key state officials as nonvoting members. An Executive Director runs daily work and may request HIPAA‑allowed data. The Commission reviews care needs, costs, access, drug prices, Medicaid impacts, telehealth, and more, and can request up to two public reports a year from government entities.

New state oral health program

The Authority appoints a State Dental Health Officer and a State Public Health Dental Hygienist. It runs a State Program for Oral Health to teach prevention and treatment across Nevada. The Authority can solicit gifts and grants, and a Gift Fund manages donated money and property. Donated property sold must bring at least 90% of appraised value.

Public health can accept federal funds

The Division of Public and Behavioral Health may accept federal health money and deposit it in the State Treasury account for that Division. The money is used for public health programs the Division runs.

Tighter oversight of health facilities

The Authority supervises sanitation and safety at certain state institutions, with at least yearly inspections. It now adopts the Uniform Plumbing Code for toilets and sewage and receives local code copies. The Authority inventories facilities and manages plans and funds for building public and nonprofit health facilities, and can seek federal help. Regulators must consult the Authority’s compliance division when defining certain safety terms by rule.

Updated names under Health Authority

State law now uses Nevada Health Authority terms across programs. The Silver State Health Insurance Exchange definitions now align with the Authority. For music therapy licensing, “Division” now means the Health Care Purchasing and Compliance Division. These wording updates clarify who runs programs and licenses.

Easier funding for medical residencies

The Medical Education Council can make agreements with the Health Authority to transfer and spend money for graduate medical education. This helps move funds to expand and support residency training.

Grants to expand doctor training

An Advisory Council reviews applications for graduate medical education funding. The Consumer Health Division runs a competitive grant program to create, expand, or keep residency and fellowship slots in Nevada. The Division uses a scoring process and may set rules for the program.

Home care worker pay investigations

The Director and Labor Commissioner must coordinate early investigations of wages and working conditions for home care workers with aging services, the Medicaid Division, and the Health Care Purchasing and Compliance Division. This improves oversight of pay and workplace rules in home care.

More support for medical residencies

The Nevada Health Authority’s Director runs the Graduate Medical Education Account. The Director can accept gifts and grants to grow funds for residency and training programs in Nevada.

Lab licenses need SSN and child support

When you apply for or renew certain lab‑related licenses, you must provide your Social Security number and a child‑support statement. The Division can deny or not renew if you do not submit the statement or it shows noncompliance. Suspensions and reinstatements follow court orders.

New fees for health program oversight

The State Board of Health can set fees for licenses, permits, inspections, and program services to meet the Division’s budget. Programs that treat people who commit domestic violence must be certified and pay certification fees. Providers must follow program rules the Board sets, and the Division will monitor them.

New rules to get dietitian license

To get a dietitian license, you must apply, show you are a registered dietitian in good standing, pay fees, and submit two fingerprint sets for a criminal check. The Board and the Division set qualifications, continuing training, and fees, and can check a licensee’s skills. The Division may accept grants and contracts to fund this work. An advisory group may be formed to give expert advice (members serve without pay).

Updated rules for music therapy licensing

Definitions in the music therapy chapter now use the Health Care Purchasing and Compliance Division as the administering office. This aligns terms and makes clear which division oversees licensing and rules.

Music therapy license: fees and renewals

The Health Care Purchasing and Compliance Division now approves programs and issues music therapy licenses. The application fee is $200, and renewal is $200 every 3 years (or another amount set by rule). You must provide your Social Security number and a child‑support statement; noncompliance can block issuance or renewal. At renewal, any extra data form is optional and confidential. If a license is delinquent, the Division mails notice within 30 days, and you have 60 days to renew before it expires.

New oversight for dietitian licenses

The Authority’s Health Care Purchasing and Compliance Division now keeps the register of licensed dietitians, disciplinary records, and a public docket. The Division issues provisional (1‑year), temporary, and regular licenses, requires supervision for provisional licensees, and can investigate and discipline dietitians.

New licensing and training rules for facilities

Health facilities now file license applications with the Health Care Purchasing and Compliance Division, which can inspect with or without notice. The Division licenses recovery centers, and updated rules tie controlled‑substance deliveries to valid prescriptions or chart orders signed within 48 hours. Staff who see patients weekly need Authority‑approved cultural competency training unless they finished approved continuing education. The Division enforces music therapy licensing and may use an unpaid advisory group. Doulas enrolled with Medicaid must report suspected child abuse or neglect.

Authority takes over contracts and coordination

Many laws now name the Health Authority for health insurance marketplace coordination and related duties, and other state agencies must work with it. The Authority can sign certain transportation contracts for services and do safety inspections if the public entity cannot. These changes shift who agencies and contractors work with, not benefit amounts.

Health agency changes in 2025–2026

Most parts of the law start July 1, 2025. Sections 110 and 355 start January 1, 2026, and Section 360 starts July 1, 2025 only if AB 519 also becomes law. Rules, contracts, and actions by agencies that change names or duties stay in force. A revised contract rule applies only to contracts entered on or after July 1, 2025.

Some Authority cases skip APA steps

Certain parts of Nevada’s Administrative Procedure Act do not apply when the Health Authority issues letters of approval for health facilities. Some rulemaking under Medicaid law can also bypass listed APA requirements. This can speed decisions while changing how contested cases and rules are handled.

Transition rules for 2025 health reorg

Counties with an exemption approved by June 30, 2025 stay exempt from the new assessment for the rest of that exemption term. If another law in the same session moves certain food-regulation duties elsewhere, this act’s transfer to the Health Authority does not take effect. Incumbent members on bodies with a new appointing authority keep serving until their terms end. One domestic violence committee seat turns over July 1, 2025 unless reappointed under the new process. Some statutes are repealed to support the reorganization. For the PEBP board, terms for two members end June 30, 2025, and new appointments begin on or after July 1, 2025, with terms ending June 30, 2027 and June 30, 2029.

Health Authority now key licensing board

The Health Care Purchasing and Compliance Division is named as a health care licensing board and added to certain exemption lists. When boards route complaints or find safety issues, they now send them to this Division. The law also expands who counts as a “health facility,” including facilities licensed under chapter 449 and some community-based living homes. This centralizes oversight and may add rules for more facilities.

Exchange moves under Health Authority

The Silver State Health Insurance Exchange is placed inside the Nevada Health Authority. The Exchange Board’s membership and appointments change, and the Authority’s Director appoints the Exchange’s Executive Director. Current Board members’ terms end June 30, 2025. New, staggered terms begin after July 1, 2025.

New Health Authority runs programs

The Nevada Health Authority now runs many state health programs. Duties in Medicaid law and key cost-control laws move from the old department to the Authority and its divisions. The Authority’s Medicaid Division takes over the former Health Care Financing and Policy Division. New and existing grant programs to address provider shortages also move to the Health Care Purchasing and Compliance Division.

New health data office and privacy rules

The Authority creates an Office of Data Analytics to run the all‑payer claims database. The Director is the state lead for health IT and can set up health information exchanges. The Authority may share confidential records within its divisions and with local agencies to collect debts, while keeping confidentiality. If you have HIV and apply for or get Medicaid, your medical info can be disclosed to the Authority.

Stronger health enforcement and fines

The Nevada Health Authority can ask a court to stop violations of health laws, or fine violators. Fines can reach up to 10% of a proposed project’s cost or up to $20,000 per violation. Agencies can require fixes and penalties after Authority notices, but cannot suspend or revoke permits for certain listed failures. Regulators may share information and do joint investigations while protecting confidentiality.

Tighter insurer and provider compliance checks

If the Health Authority finds a licensed provider or insurer out of compliance with required reporting rules and not exempt or waived, it must tell the licensing body that issued their license. When the Authority notifies the Insurance Commissioner that an insurer failed certain rules, the Commissioner can order fixes or fines after a hearing. The Commissioner cannot suspend or revoke a certificate for that failure alone.

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Sponsors & Cosponsors

Sponsor

  • Senate Committee on Finance

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 63 • No: 0

House vote 6/1/2025

Final Passage - Assembly (1st Reprint)

Yes: 42 • No: 0

Senate vote 5/30/2025

Final Passage - Senate (As Introduced)

Yes: 21 • No: 0

Actions Timeline

  1. Chapter 514.

    6/11/2025legislature
  2. Approved by the Governor.

    6/10/2025legislature
  3. Enrolled and delivered to Governor.

    6/6/2025legislature
  4. To enrollment.

    6/4/2025Senate
  5. Assembly Amendment Nos. 948 and 954 concurred in.

    6/2/2025Senate
  6. In Senate.

    6/2/2025Senate
  7. To Senate.

    6/2/2025House
  8. From printer. To reengrossment. Reengrossed. Second reprint.

    6/2/2025House
  9. To printer.

    6/1/2025House
  10. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.)

    6/1/2025House
  11. Dispensed with reprinting.

    6/1/2025House
  12. Read third time. Amended. (Amend. Nos. 948 and 954.)

    6/1/2025House
  13. Placed on General File.

    6/1/2025House
  14. Taken from Chief Clerk's desk.

    6/1/2025House
  15. Placed on Chief Clerk's desk.

    5/31/2025House
  16. Taken from General File.

    5/31/2025House
  17. Read second time.

    5/31/2025House
  18. Placed on Second Reading File.

    5/31/2025House
  19. From committee: Do pass.

    5/31/2025House
  20. Read first time. Referred to Committee on Health and Human Services. To committee.

    5/30/2025House
  21. In Assembly.

    5/30/2025House
  22. To Assembly.

    5/30/2025Senate
  23. From printer. To engrossment. Engrossed. First reprint.

    5/30/2025Senate
  24. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 21, Nays: None.) To printer.

    5/30/2025Senate
  25. Reprinting dispensed with.

    5/30/2025Senate

Bill Text

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