All Roll Calls
Yes: 41 • No: 22
NevadaAB34383rd Regular Session (2025)House
AN ACT relating to health care; requiring hospitals to publish certain information relating to the pricing of goods and services; prohibiting a hospital from collecting medical debt that accrued while the hospital was out of compliance with that requirement; prescribing a procedure for the correction of violations of that requirement; authorizing certain investigations, civil actions and the imposition of certain administrative sanctions; providing for the publication of certain information relating to violations; requiring certain health care entities to provide certain information before taking any action to collect a medical debt; providing a penalty; and providing other matters properly relating thereto.
Sponsored By: Steve Yeager (Democratic)
Signed by Governor
BDR 40-988
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Bill Overview
Analyzed Economic Effects
10 provisions identified: 9 benefits, 0 costs, 1 mixed.
Free inpatient care for indigent patients
Each hospital must provide free inpatient care equal to 0.6% of its prior‑year inpatient net revenue. The state calculates each hospital’s required amount and informs counties. Counties only pay hospitals for indigent care that exceeds the hospital’s minimum obligation.
Hospitals hiding prices can’t collect
If your bill arose while a hospital failed to follow price‑transparency rules, the hospital cannot sue, send to collections, or report it to credit bureaus. You can file a claim with the Bureau of Consumer Protection to trigger an investigation and pause collections during the review. If a violation is found, the hospital must cancel the debt and refund amounts you paid. This protection applies to debts incurred before, on, or after January 1, 2026.
Stronger rights before medical debt collection
Starting January 1, 2026, providers must give you an easy‑to‑understand, itemized bill with billing codes before trying to collect. If you make a payment, they must send an itemized receipt within 30 days or they cannot collect that debt. You can file a claim with the Bureau of Consumer Protection to pause collection while it investigates. If the Bureau finds a violation, the provider must cancel the debt and refund what you paid. Knowing violations count as deceptive trade practices with added penalties.
Annual hospital facility-fee reports online
By July 1 each year, hospitals must report details on facility fees charged the prior year. Reports must list locations, visit counts, fees paid by Medicare and other payers, and the top services by revenue and frequency with CPT codes. A senior official must sign under penalty of perjury. The state posts each report online within 45 days.
Hospitals must post clear prices
Hospitals must post prices for every item and service each year. Lists must show plain names, cash price, the highest and lowest negotiated prices, and common billing codes. They must also post a list of at least 300 shoppable services or offer a free, 24/7 price-estimator tool. Files must be machine‑readable, easy to find on each facility’s website, searchable, and free without login.
Small practices exempt from some debt rules
Starting January 1, 2026, small practitioner group practices are exempt from the new pre‑collection disclosure, receipt, investigation‑stay, and related remedy rules. The exemption applies only if the practice meets the legal definition of a small practitioner group.
Easier access to public records
Agencies must provide public records unless another law makes them confidential. They must redact private parts, not deny the whole record, and give electronic copies when available. This includes records related to hospital violation postings.
More help from the health advocate
The Office for Consumer Health Assistance helps people file claims with the Bureau of Consumer Protection. The Office keeps a website with links to Canadian pharmacies it recommends and to statewide hospital charge information. It compiles an annual report by January 31 each year.
State enforcement and public violation posting
You can file complaints by web form or phone if a hospital breaks the rules. The state sends a notice and the hospital has 30 days to fix issues or submit a correction plan. After a hearing, the state can fine hospitals: at least $600 (≤30 beds), $20 per bed (31–550 beds), or $11,000 (>550 beds), and fines can accrue daily. Within 30 days of a final finding, the state posts the hospital name, violation, fixes, and penalties on a public website.
Old hospital billing section repealed
The law repeals NRS 439B.140. The act does not provide more detail about the effect or transition.
Sponsors & Cosponsors
Sponsor
Steve Yeager
Democratic • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 5/23/2025
Final Passage - Senate (2nd Reprint)
Yes: 13 • No: 8
House vote • 4/22/2025
Final Passage - Assembly (1st Reprint)
Yes: 28 • No: 14
Actions Timeline
Chapter 247.
6/3/2025legislatureApproved by the Governor.
6/3/2025legislatureEnrolled and delivered to Governor.
5/29/2025legislatureSenate Amendment No. 749 concurred in. To enrollment.
5/27/2025HouseIn Assembly.
5/26/2025HouseRead third time. Passed, as amended. Title approved. (Yeas: 13, Nays: 8.) To Assembly.
5/23/2025SenateFrom printer. To re-engrossment. Re-engrossed. Second reprint.
5/23/2025SenateRead second time. Amended. (Amend. No. 749.) To printer.
5/22/2025SenatePlaced on Second Reading File.
5/22/2025SenateFrom committee: Amend, and do pass as amended.
5/22/2025SenateRead first time. Referred to Committee on Health and Human Services. To committee.
4/29/2025SenateIn Senate.
4/28/2025SenateTo Senate.
4/25/2025HouseFrom printer. To engrossment. Engrossed. First reprint.
4/25/2025HouseTo printer.
4/22/2025HouseRead third time. Passed, as amended. Title approved, as amended. (Yeas: 28, Nays: 14.)
4/22/2025HouseDispensed with reprinting.
4/21/2025HouseRead second time. Amended. (Amend. No. 450.)
4/21/2025HousePlaced on Second Reading File.
4/21/2025HouseFrom committee: Amend, and do pass as amended.
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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