# Nevada AB326: 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. Nevada AB326, 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., is a 83rd Regular Session (2025) House bill sponsored by Gregory S. Koenig (Republican); status signed, last action 2025-06-09 (Chapter 418.) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-AB326-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada AB326 - State: Nevada - Session: 83rd Regular Session (2025) - Title: 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. - Status: signed - Chamber: House - Introduced: 2025-03-03 - Last action: 2025-06-09, Chapter 418. - Sponsor: Gregory S. Koenig (Republican) - Cosponsors: 2 - Subjects: BDR 40-153 - Touches household money: no - Roll calls: 2 (63 yes, 0 no in all) - Economic provisions PRIA read: 5 ## Summary No summary available. ## Bill overview: provisions PRIA read - State OK required, no false trauma claims: benefit, low. 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 misleadin… - Big counties must plan trauma care: benefit, low. 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 di… - Statewide trauma transport and communication system: benefit, low. 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: mixed, low. 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: mixed, low. 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… ## Sponsors and cosponsors - Sponsor: Gregory S. Koenig (Republican), House - Cosponsor: Lisa K. Cole (Republican), House - Cosponsor: Selena Torres-Fossett (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-06-02 | Senate | Final Passage - Senate (2nd Reprint) | pass | 21 | 0 | | | 2025-05-30 | House | Final Passage - Assembly (2nd Reprint) | pass | 42 | 0 | | ## Actions (25) - 2025-06-09: Chapter 418. (legislature) - 2025-06-09: Approved by the Governor. (legislature) - 2025-06-05: Enrolled and delivered to Governor. (legislature) - 2025-06-02: In Assembly. To enrollment. (House) - 2025-06-02: Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly. (Senate) - 2025-06-01: Read second time. (Senate) - 2025-05-31: From committee: Do pass. (Senate) - 2025-05-31: Read first time. Referred to Committee on Health and Human Services. 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. 856.) To printer. (House) - 2025-05-29: Placed on General File. (House) - 2025-05-29: From committee: Amend, and do pass as amended. (House) - 2025-04-23: To committee. (House) - 2025-04-23: From printer. To engrossment. Engrossed. First reprint. (House) - 2025-04-21: To printer. (House) - 2025-04-21: Rereferred to Committee on Ways and Means. Exemption effective. (House) - 2025-04-21: Taken from General File. (House) - 2025-04-21: Read second time. Amended. (Amend. No. 432.) (House) - 2025-04-21: Placed on Second Reading File. (House) - 2025-04-21: From committee: Amend, and do pass as amended. (House) - 2025-04-21: Notice of eligibility for exemption. (House) - 2025-03-04: From printer. To committee. (House) - 2025-03-03: 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/AB326_EN.pdf) - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB326.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB326_R1.pdf) - Reprint 2: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB326_R2.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) - AB301: AN ACT relating to community development; requiring certain records to be maintained by the board of trustees of certain general improvement districts; increas… (signed) ## Sources - [As Enrolled (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB326_EN.pdf) - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB326.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB326_R1.pdf) - [Reprint 2 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB326_R2.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) - [AB301: AN ACT relating to community development; requiring certain records to be maint…](https://policyrisk.com/state-bill/NV-AB301-83rd2025) - [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-AB326-83rd2025 (as of 2026-11-01).