All Roll Calls
Yes: 63 • No: 0
NevadaAB32683rd Regular Session (2025)HouseWALLET
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: Sponsor information unavailable
Signed by Governor
BDR 40-153
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 2 benefits, 0 costs, 2 mixed.
Big counties must plan trauma systems
In counties with 700,000 or more people, the local health board must set trauma standards that match the state rules and adopt a county trauma plan. The plan must address future trauma needs and how services will be provided across the county. The board may approve a new trauma center only if the hospital meets those standards, the state Administrator has approved it, and it will not reduce capacity at existing centers.
Stronger approval and labeling for trauma centers
A hospital cannot operate as a trauma center without written state approval. It cannot claim a Level I–IV status unless the state has officially designated it. The State Board of Health sets the standards and levels, guided by the American College of Surgeons. The Administrator approves a new center only if a needs assessment shows a local shortage and the hospital meets the standards. Designated centers must admit any injured person, use qualified trauma doctors, and keep meeting the standards.
When these trauma system rules start
Sections 3, 3.5, and 6 take effect when the act is signed. Sections 1, 2, 4, and 5 are effective on signing only for writing rules and preparation, and take full effect on January 1, 2026. Local governments’ extra costs to carry out this law are exempt from the usual NRS 354.599 limit.
Level IV status limited to remote hospitals
If the Board creates a Level IV, it only goes to critical access hospitals more than 80 miles from any county with two or more trauma centers. A critical access hospital is one certified by the U.S. Secretary of Health and Human Services.
Sponsors & Cosponsors
Sponsors
There is no primary sponsor on record.
Cosponsors
There are no cosponsors for this bill.
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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