NevadaAB28483rd Regular Session (2025)House

AN ACT relating to Medicaid; requiring the Director of the Department of Health and Human Services to seek to establish certain rates of reimbursement under Medicaid for vagus nerve stimulation therapy devices and replacement parts for such a device; making an appropriation; and providing other matters properly relating thereto.

Sponsored By: Tracy Brown-May (Democratic)

Signed by Governor

BDR S-571

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Higher Medicaid payment for epilepsy devices

By October 1, 2025, the state must request higher Medicaid payments for vagus nerve stimulation (VNS) devices used for epilepsy. The request sets a floor of at least 82% of the device or replacement part’s acquisition cost. These device payments are separate from hospital or surgery bills to implant, fix, or replace the device. Section 2 becomes operative March 1, 2026.

Funding to implement Medicaid device rates

Beginning July 1, 2025, the state funds work to carry out these VNS Medicaid payments and upgrade systems. The Division of Health Care Financing and Policy receives $54,728 in FY 2025–2026 and $240,004 in FY 2026–2027. The Division may also spend $188,270 in FY 2025–2026 and $700,098 in FY 2026–2027 from other non–General Fund sources. Money not committed after June 30 each year cannot be spent. Any remaining funds must return to the General Fund by September 18, 2026 and September 17, 2027.

Sponsors & Cosponsors

Sponsor

  • Tracy Brown-May

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 62 • No: 0

Senate vote • 6/2/2025

Final Passage - Senate (2nd Reprint)

Yes: 20 • No: 0

House vote • 5/30/2025

Final Passage - Assembly (2nd Reprint)

Yes: 42 • No: 0

Actions Timeline

  1. Chapter 417.

    6/9/2025legislature
  2. Approved by the Governor.

    6/9/2025legislature
  3. Enrolled and delivered to Governor.

    6/5/2025legislature
  4. Senate Amendment No. 984 concurred in. To enrollment.

    6/2/2025House
  5. In Assembly.

    6/2/2025House
  6. From printer. To re-engrossment. Re-engrossed. Third reprint. To Assembly.

    6/2/2025Senate
  7. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 20, Nays: None, Excused: 1.) To printer.

    6/2/2025Senate
  8. Reprinting dispensed with.

    6/2/2025Senate
  9. Read third time. Amended. (Amend. No. 984.)

    6/2/2025Senate
  10. Read second time.

    6/1/2025Senate
  11. Placed on Second Reading File.

    6/1/2025Senate
  12. From committee: Amend, and do pass as amended.

    6/1/2025Senate
  13. Read first time. Referred to Committee on Finance. To committee.

    5/31/2025Senate
  14. In Senate.

    5/31/2025Senate
  15. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To Senate.

    5/30/2025House
  16. From printer. To reengrossment. Reengrossed. Second reprint.

    5/30/2025House
  17. Read third time. Amended. (Amend. No. 893.) To printer.

    5/29/2025House
  18. Placed on General File.

    5/29/2025House
  19. From committee: Amend, and do pass as amended.

    5/29/2025House
  20. From printer. To engrossment. Engrossed. First reprint. To committee.

    4/15/2025House
  21. To printer.

    4/14/2025House
  22. Rereferred to Committee on Ways and Means. Exemption effective.

    4/14/2025House
  23. Taken from General File.

    4/14/2025House
  24. Read second time. Amended. (Amend. No. 82.)

    4/14/2025House
  25. From committee: Amend, and do pass as amended.

    4/10/2025House

Bill Text

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