# Nevada AB284: 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. Nevada AB284, 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., is a 83rd Regular Session (2025) House bill sponsored by Tracy Brown-May (Democratic); status signed, last action 2025-06-09 (Chapter 417.) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-AB284-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada AB284 - State: Nevada - Session: 83rd Regular Session (2025) - Title: 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. - Status: signed - Chamber: House - Introduced: 2025-02-25 - Last action: 2025-06-09, Chapter 417. - Sponsor: Tracy Brown-May (Democratic) - Cosponsors: 0 - Subjects: BDR S-571 - Touches household money: no - Roll calls: 2 (62 yes, 0 no in all) - Economic provisions PRIA read: 2 ## Summary No summary available. ## Bill overview: provisions PRIA read - Higher Medicaid payment for epilepsy devices: benefit, high. 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 implan… - Funding to implement Medicaid device rates: benefit, low. 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 2026–202… ## Sponsors and cosponsors - Sponsor: Tracy Brown-May (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-06-02 | Senate | Final Passage - Senate (2nd Reprint) | pass | 20 | 0 | | | 2025-05-30 | House | Final Passage - Assembly (2nd Reprint) | pass | 42 | 0 | | ## Actions (28) - 2025-06-09: Chapter 417. (legislature) - 2025-06-09: Approved by the Governor. (legislature) - 2025-06-05: Enrolled and delivered to Governor. (legislature) - 2025-06-02: Senate Amendment No. 984 concurred in. To enrollment. (House) - 2025-06-02: In Assembly. (House) - 2025-06-02: From printer. To re-engrossment. Re-engrossed. Third reprint. To Assembly. (Senate) - 2025-06-02: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 20, Nays: None, Excused: 1.) To printer. (Senate) - 2025-06-02: Reprinting dispensed with. (Senate) - 2025-06-02: Read third time. Amended. (Amend. No. 984.) (Senate) - 2025-06-01: Read second time. (Senate) - 2025-06-01: Placed on Second Reading File. (Senate) - 2025-06-01: From committee: Amend, and do pass as amended. (Senate) - 2025-05-31: Read first time. Referred to Committee on Finance. To committee. (Senate) - 2025-05-31: In Senate. (Senate) - 2025-05-30: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To Senate. (House) - 2025-05-30: From printer. To reengrossment. Reengrossed. Second reprint. (House) - 2025-05-29: Read third time. Amended. (Amend. No. 893.) To printer. (House) - 2025-05-29: Placed on General File. (House) - 2025-05-29: From committee: Amend, and do pass as amended. (House) - 2025-04-15: From printer. To engrossment. Engrossed. First reprint. To committee. (House) - 2025-04-14: To printer. (House) - 2025-04-14: Rereferred to Committee on Ways and Means. Exemption effective. (House) - 2025-04-14: Taken from General File. (House) - 2025-04-14: Read second time. Amended. (Amend. No. 82.) (House) - 2025-04-10: From committee: Amend, and do pass as amended. (House) - 2025-03-13: Notice of eligibility for exemption. (House) - 2025-02-26: From printer. To committee. (House) - 2025-02-25: Read first time. Referred to Committee on Health and Human Services. To printer. (House) ## Bill text - As Enrolled: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB284_EN.pdf) - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB284.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB284_R1.pdf) - Reprint 2: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB284_R2.pdf) - Reprint 3: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB284_R3.pdf) ## Related bills - AB259: AN ACT relating to health care; prohibiting certain actions related to pricing and reimbursement for certain drugs; creating a cause of action for violating su… (vetoed) - AB188: AN ACT relating to the Public Employees' Benefits Program; requiring the Board of the Public Employees' Benefits Program to report certain information relating… (vetoed) - SB217: AN ACT relating to health care; prohibiting a governmental entity from substantially burdening certain activity relating to assisted reproduction under certain… (vetoed) - AB499: AN ACT relating to elections; requiring, with certain exceptions, a registered voter show photo identification to vote in person; requiring the Department of M… (vetoed) - AB397: AN ACT relating to higher education; revising provisions governing certain waivers of fees provided by the Board of Regents of the University of Nevada; revisi… (vetoed) - AB296: AN ACT relating to motor vehicles; requiring the Department of Motor Vehicles to contract with a person who makes installment loans to pay the fees and taxes d… (signed) ## Sources - [As Enrolled (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB284_EN.pdf) - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB284.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB284_R1.pdf) - [Reprint 2 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB284_R2.pdf) - [Reprint 3 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB284_R3.pdf) ## Related - [AB259: AN ACT relating to health care; prohibiting certain actions related to pricing…](https://policyrisk.com/state-bill/NV-AB259-83rd2025) - [AB188: AN ACT relating to the Public Employees' Benefits Program; requiring the Board…](https://policyrisk.com/state-bill/NV-AB188-83rd2025) - [SB217: AN ACT relating to health care; prohibiting a governmental entity from substant…](https://policyrisk.com/state-bill/NV-SB217-83rd2025) - [AB499: AN ACT relating to elections; requiring, with certain exceptions, a registered…](https://policyrisk.com/state-bill/NV-AB499-83rd2025) - [AB397: AN ACT relating to higher education; revising provisions governing certain waiv…](https://policyrisk.com/state-bill/NV-AB397-83rd2025) - [AB296: AN ACT relating to motor vehicles; requiring the Department of Motor Vehicles t…](https://policyrisk.com/state-bill/NV-AB296-83rd2025) - [Nevada bills](https://policyrisk.com/states/nevada/bills) - [Nevada state hub](https://policyrisk.com/states/nevada) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/NV-AB284-83rd2025 (as of 2026-11-01).