All Roll Calls
Yes: 63 • No: 0
NevadaAB32683rd Regular Session (2025)House
AN ACT relating to health care; prohibiting a center for the treatment of trauma from representing it provides a specific level of care unless the center provides that level of care; authorizing the State Board of Health to adopt regulations establishing specific designations for the level of care provided by a center for the treatment of trauma; and providing other matters properly relating thereto.
Sponsored By: Gregory S. Koenig (Republican)
Signed by Governor
BDR 40-153
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 3 benefits, 0 costs, 2 mixed.
State OK required, no false trauma claims
Starting January 1, 2026, no one can operate a trauma center without written approval from the state health division. A trauma center also cannot claim a specific level of care unless the state Administrator has officially designated that level. These rules protect patients from unsafe or misleading services.
Big counties must plan trauma care
Starting January 1, 2026, district health boards in counties with 700,000 or more people must adopt rules that match state trauma standards and create a county trauma plan. In these counties, a new trauma center needs both the state Administrator’s approval and the district board’s approval. The district board must also find the new center will not reduce the capacity of existing centers.
Statewide trauma transport and communication system
Starting January 1, 2026, the State Board of Health sets up a program to treat, transport, and admit people who need trauma care. The program includes a communication system to route patients to the right trauma center.
Local cost cap waived for trauma rollout
The law exempts local government costs tied to this act from NRS 354.599. This lets local governments handle these costs outside that cap. The law does not set any new taxes.
New rules for trauma center levels and need
Starting January 1, 2026, the State Board of Health sets standards and levels (I–IV) for trauma centers using American College of Surgeons guidance. Level IV, if used, is limited to critical access hospitals more than 80 miles from a county that has two or more trauma centers. The Administrator may approve a new trauma center only if it meets standards and serves an area with a shortage of trauma care. The needs study must review five years of trauma cases and locations, effects on existing centers, county-identified need, and ACS advice, but cannot count community support. To keep designation, hospitals must admit injured people who need care, ensure trauma doctors are qualified, and maintain the required standards.
Sponsors & Cosponsors
Sponsor
Gregory S. Koenig
Republican • House
Cosponsors
Lisa K. Cole
Republican • House
Selena Torres-Fossett
Democratic • House
Roll Call Votes
Senate vote • 6/2/2025
Final Passage - Senate (2nd Reprint)
Yes: 21 • No: 0
House vote • 5/30/2025
Final Passage - Assembly (2nd Reprint)
Yes: 42 • No: 0
Actions Timeline
Chapter 418.
6/9/2025legislatureApproved by the Governor.
6/9/2025legislatureEnrolled and delivered to Governor.
6/5/2025legislatureIn Assembly. To enrollment.
6/2/2025HouseRead third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.
6/2/2025SenateRead second time.
6/1/2025SenateFrom committee: Do pass.
5/31/2025SenateRead first time. Referred to Committee on Health and Human Services. To committee.
5/31/2025SenateIn Senate.
5/31/2025SenateRead third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To Senate.
5/30/2025HouseFrom printer. To reengrossment. Reengrossed. Second reprint.
5/30/2025HouseRead third time. Amended. (Amend. No. 856.) To printer.
5/29/2025HousePlaced on General File.
5/29/2025HouseFrom committee: Amend, and do pass as amended.
5/29/2025HouseTo committee.
4/23/2025HouseFrom printer. To engrossment. Engrossed. First reprint.
4/23/2025HouseTo printer.
4/21/2025HouseRereferred to Committee on Ways and Means. Exemption effective.
4/21/2025HouseTaken from General File.
4/21/2025HouseRead second time. Amended. (Amend. No. 432.)
4/21/2025HousePlaced on Second Reading File.
4/21/2025HouseFrom committee: Amend, and do pass as amended.
4/21/2025HouseNotice of eligibility for exemption.
4/21/2025HouseFrom printer. To committee.
3/4/2025HouseRead first time. Referred to Committee on Health and Human Services. To printer.
3/3/2025House
Bill Text
As Enrolled
As Introduced
Reprint 1
Reprint 2
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