NevadaAB3683rd Regular Session (2025)HouseWALLET

AN ACT relating to Medicaid; revising provisions relating to certain hearings concerning actions taken against a provider of services under the State Plan for Medicaid; and providing other matters properly relating thereto.

Sponsored By: Assembly Committee on Health and Human Services

Signed by Governor

BDR 38-291

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 0 costs, 2 mixed.

When these Medicaid hearing rules apply

These changes start January 1, 2026. They do not apply to hearings requested before January 1, 2026. The law takes effect now so the Division can write the new rules and do other prep work.

Court review steps after provider hearings

Beginning January 1, 2026, the hearing officer’s decision is the final agency decision. Any party may seek review in the Carson City District Court within 30 days after getting the decision and must serve all parties within 30 days after filing. The Division must send the full record to the court within 90 days after service, unless the court orders otherwise. The petitioner files an opening brief within 40 days after the record is filed; the respondent has 30 days to answer; the petitioner may reply within 30 days. Within 7 days after the reply period ends, any party may ask for a court hearing; if no one asks, the court decides on the written record. The court reviews only the record, does not reweigh facts, and can affirm, remand, or change the decision for legal or procedural errors, lack of authority, clearly wrong findings, or arbitrary action.

New hearing rules for Medicaid providers

Beginning January 1, 2026, Medicaid providers must ask for a hearing within 90 calendar days of the notice. The Division can accept a late request only if its rules say extenuating circumstances apply. The Division must appoint an impartial hearing officer; staff who investigated or made the first decision cannot decide the case. The Division must also write rules that set hearing steps, list which actions can be appealed, and define valid late-filing reasons.

Sponsors & Cosponsors

Sponsor

  • Assembly Committee on Health and Human Services

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 62 • No: 0

Senate vote 5/21/2025

Final Passage - Senate (As Introduced)

Yes: 21 • No: 0

House vote 4/10/2025

Final Passage - Assembly (As Introduced)

Yes: 41 • No: 0

Actions Timeline

  1. Chapter 66.

    5/28/2025legislature
  2. Approved by the Governor.

    5/28/2025legislature
  3. Enrolled and delivered to Governor.

    5/27/2025legislature
  4. In Assembly. To enrollment.

    5/22/2025House
  5. Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.

    5/21/2025Senate
  6. Taken from General File. Placed on General File for next legislative day.

    5/20/2025Senate
  7. Read second time.

    5/19/2025Senate
  8. From committee: Do pass.

    5/16/2025Senate
  9. Read first time. Referred to Committee on Health and Human Services. To committee.

    4/14/2025Senate
  10. In Senate.

    4/14/2025Senate
  11. Read third time. Passed. Title approved. (Yeas: 41, Nays: None, Excused: 1.) To Senate.

    4/10/2025House
  12. Taken from General File. Placed on General File for next legislative day.

    4/7/2025House
  13. Taken from General File. Placed on General File for next legislative day.

    4/3/2025House
  14. Taken from General File. Placed on General File for next legislative day.

    3/31/2025House
  15. Taken from General File. Placed on General File for next legislative day.

    3/27/2025House
  16. Read second time.

    3/26/2025House
  17. From committee: Do pass.

    3/25/2025House
  18. Read first time. To committee.

    2/4/2025House
  19. From printer.

    11/19/2024House
  20. Prefiled. Referred to Committee on Health and Human Services. To printer.

    11/15/2024House

Bill Text

  • As Enrolled

  • As Introduced

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