All Roll Calls
Yes: 63 • No: 0
NevadaAB36083rd Regular Session (2025)HouseWALLET
AN ACT relating to health care; requiring certain physician assistants and advanced practice registered nurses to examine pregnant women for the discovery of syphilis; requiring the use of a rapid or point-of-care test when testing certain pregnant women for syphilis in certain circumstances; requiring certain medical facilities to develop a policy to ensure compliance with such requirements; exempting certain medical facilities from requirements relating to testing for syphilis; authorizing the discipline of certain health care facilities that violate such requirements; requiring Medicaid to reimburse for rapid or point-of-care testing for syphilis performed under certain circumstances separately from reimbursement for other prenatal care; and providing other matters properly relating thereto.
Sponsored By: Sponsor information unavailable
Signed by Governor
BDR 40-745
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Bill Overview
Analyzed Economic Effects
8 provisions identified: 6 benefits, 1 costs, 1 mixed.
Medicaid pays separately for rapid tests
Beginning January 1, 2026, Nevada Medicaid pays for rapid or point‑of‑care syphilis testing as a separate payment from other prenatal care, if federal funds are available. The state must update its Medicaid plan and seek any needed federal approvals to secure this funding.
Required syphilis screening in pregnancy
Beginning January 1, 2026, your prenatal care must include syphilis testing at your first visit and again between weeks 27–36. Testing at delivery is also required if CDC guidance calls for it, you live in a high‑morbidity area, had no prenatal care, or after a stillbirth at 20+ weeks. Providers use State‑recognized blood tests and send samples to a licensed lab. If you have no history of syphilis and no test in the last 3 months, non‑hospital sites may use a rapid test; a regular blood test is allowed only if results will be ready before you leave.
Treatment and consent after positive test
Beginning January 1, 2026, if a test shows you have syphilis during pregnancy, your provider must ask your consent and start treatment if you agree. If they cannot treat you, they must ask your consent and refer you for care. You may refuse blood sampling or any serological, rapid, or point‑of‑care test. If you refuse, no test is done and your medical record must note the refusal.
Stronger penalties for noncompliant facilities
Beginning January 1, 2026, the state can deny, suspend, or revoke a medical facility’s license if it breaks the syphilis testing law. The Division may also ban new admissions, limit occupancy, appoint temporary managers, order fixes, and fine up to $5,000 per day plus interest. Licenses can be suspended for unpaid penalties.
Clinics and hospitals must screen and document
Beginning January 1, 2026, non‑hospital clinics and hospital ERs or labor units must ask women of childbearing age if they are pregnant and if they had prenatal care. If she says she is pregnant, the facility must ensure an exam with syphilis testing or arrange testing or referral, including when there is a history of syphilis. Facilities must keep a written policy to follow these rules and to document any refusals. The State Board of Health decides which syphilis tests count as qualified.
State lab syphilis tests are free
Beginning January 1, 2026, if your syphilis test is run in a state laboratory, the test is free to you. This applies only to tests performed in state labs.
State-run rural clinics are exempt
Beginning January 1, 2026, rural clinics owned or run by the State or local governments do not have to follow the screening duty for women of childbearing age or the policy‑writing rule. If you use one of these clinics, those facility duties do not apply there.
Localities can spend to implement law
Beginning January 1, 2026, local governments are not limited by NRS 354.599 for extra costs from this law. They can spend what is needed to carry it out.
Sponsors & Cosponsors
Sponsors
There is no primary sponsor on record.
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 5/21/2025
Final Passage - Senate (1st Reprint)
Yes: 21 • No: 0
House vote • 4/22/2025
Final Passage - Assembly (1st Reprint)
Yes: 42 • No: 0
Actions Timeline
Chapter 126.
5/30/2025legislatureApproved by the Governor.
5/30/2025legislatureEnrolled and delivered to Governor.
5/27/2025legislatureIn Assembly. To enrollment.
5/22/2025HouseRead third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.
5/21/2025SenateTaken from General File. Placed on General File for next legislative day.
5/20/2025SenateRead second time.
5/19/2025SenateFrom committee: Do pass.
5/16/2025SenateRead 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: 42, Nays: None.)
4/22/2025HouseDispensed with reprinting.
4/21/2025HouseRead second time. Amended. (Amend. No. 183.)
4/21/2025HousePlaced on Second Reading File.
4/21/2025HouseFrom committee: Amend, and do pass as amended.
4/21/2025HouseNotice of eligibility for exemption.
3/27/2025HouseFrom printer. To committee.
3/5/2025HouseRead first time. Referred to Committee on Health and Human Services. To printer.
3/4/2025House
Bill Text
As Enrolled
As Introduced
Reprint 1
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