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: Heather Goulding (Democratic)

Signed by Governor

BDR 40-745

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Bill Overview

Analyzed Economic Effects

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

Medicaid pays for rapid syphilis tests

Beginning January 1, 2026, Nevada Medicaid pays separately for rapid or point‑of‑care syphilis tests done under this law, if federal match is available. This is paid in addition to the prenatal visit payment. The Department must seek any needed federal approval.

Stronger penalties for noncompliant facilities

Beginning January 1, 2026, the state health division can deny, suspend, or revoke a facility’s license for breaking these testing or other health‑and‑safety rules. It can stop new admissions, cap occupancy, move patients at the facility’s expense, appoint temporary managers, and order fixes. It can fine up to $5,000 per day for each violation, with interest up to 10% yearly. For off‑campus hospital sites without a separate NPI, it can fine up to $10,000 per day, plus interest. Unpaid penalties can lead to license suspension and debt collection.

Stronger pregnancy syphilis screening

Beginning January 1, 2026, doctors, physician assistants, and advanced practice nurses must screen pregnant patients for syphilis. Testing happens at the first prenatal visit, again at 27–36 weeks, and at delivery in higher‑risk cases (no prenatal care, Division‑designated high‑morbidity areas, CDC guidance, or a stillbirth after 20 weeks). Clinics, ERs, and labor units must ask if you are pregnant and getting prenatal care. If you are pregnant and not tested in the last 3 months, they must use a rapid test unless lab results will be back before you leave. If you report past syphilis, they must do a serologic test or refer you. You can refuse testing; your provider must record any refusal. Facilities must keep a written policy to follow these rules and ACOG advice when it does not conflict with the law.

Some rural clinics are exempt

Beginning January 1, 2026, rural clinics run by the state or local government are exempt from the delivery‑testing rule and from keeping a written compliance policy. Other testing rules still apply unless another exception in the law fits.

Sponsors & Cosponsors

Sponsor

  • Heather Goulding

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 63 • No: 0

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

  1. Chapter 126.

    5/30/2025legislature
  2. Approved by the Governor.

    5/30/2025legislature
  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.

    4/29/2025Senate
  10. In Senate.

    4/28/2025Senate
  11. To Senate.

    4/25/2025House
  12. From printer. To engrossment. Engrossed. First reprint.

    4/25/2025House
  13. To printer.

    4/22/2025House
  14. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.)

    4/22/2025House
  15. Dispensed with reprinting.

    4/21/2025House
  16. Read second time. Amended. (Amend. No. 183.)

    4/21/2025House
  17. Placed on Second Reading File.

    4/21/2025House
  18. From committee: Amend, and do pass as amended.

    4/21/2025House
  19. Notice of eligibility for exemption.

    3/27/2025House
  20. From printer. To committee.

    3/5/2025House
  21. Read first time. Referred to Committee on Health and Human Services. To printer.

    3/4/2025House

Bill Text

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