NevadaAB36883rd Regular Session (2025)HouseWALLET

AN ACT relating to health care; authorizing a patient in certain facilities or a resident of a living community for persons with disabilities or his or her representative to request the installation and use of an electronic communication device in the living quarters of the patient or the bedroom of the resident; prohibiting such a facility or living community or an employee of such a facility or living community from taking certain additional actions; prohibiting a provider of supported living arrangement services from taking certain actions with regard to the installation and use of an electronic communication device in the home of a recipient of such services; providing penalties; and providing other matters properly relating thereto.

Sponsored By: Max E. Carter II (Democratic)

Signed by Governor

BDR 40-878

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 2 benefits, 1 costs, 2 mixed.

Fines and license risks for facilities

Breaking the device rules or retaliating can bring fines. A person can be fined up to $5,000 for a first offense and up to $10,000 for later offenses, which are also misdemeanors. A facility can be fined up to $10,000 for a first offense and up to $20,000 for later offenses, which are also misdemeanors. The Attorney General or a district attorney can collect these fines. The health division can also deny, suspend, or revoke a facility’s license for violations of these device laws.

Residents can install in-room devices

If you live in a covered care facility, you or your authorized representative can request a communication device in your room. Your written request must name the device, how it will be used, who else may view or listen, and include any needed roommate consent and a privacy waiver. The facility must approve a complete request, try to accommodate if a roommate says no, and remove the device within 24 hours after a written revocation. You or your representative pay for the device, installation, upkeep, removal, and any related repairs; the facility pays only for electricity, and your cost duty continues after discharge. The device must be able to be turned off; video devices should avoid capturing bathing, dressing, or toileting. Only you, your representative, or listed officials (like investigators or the ombudsman) may view or disable it, and anyone who turns it off must turn it back on before leaving. The facility must post a clear notice at your door when a device is in use, and staff cannot refuse to enter or do their jobs because of it. A facility cannot deny admission, discharge you, or retaliate because you asked for a device. These protections do not apply to devices installed by law enforcement for legitimate investigations.

Who can act for residents

In disability living communities, a representative may act for a resident if they are the guardian with the right powers or hold a health‑care power of attorney that grants these decisions. The law also defines which homes count as living communities for persons with disabilities and what a provider‑operated supported living arrangement is. This makes it clear who can request and manage in‑home devices and services.

More support workers allowed under nursing rules

The law lets certain licensed or certified people provide community‑based living, supported living, and jobs and day training services even when nursing rules would normally block them. This also applies to workers hired as independent contractors by licensed or certified entities. It takes effect for rulemaking now and fully by October 1, 2025.

When these changes take effect

Agencies start rulemaking and prep now. Most other duties and rights under this law are fully in place by October 1, 2025. The law also repeals NRS 435.331 and 435.3315.

Sponsors & Cosponsors

Sponsor

  • Max E. Carter II

    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 (2nd Reprint)

Yes: 21 • No: 0

House vote • 4/22/2025

Final Passage - Assembly (1st Reprint)

Yes: 42 • No: 0

Actions Timeline

  1. Chapter 250.

    6/3/2025legislature
  2. Approved by the Governor.

    6/3/2025legislature
  3. Enrolled and delivered to Governor.

    5/29/2025legislature
  4. Senate Amendment No. 635 concurred in. To enrollment.

    5/26/2025House
  5. In Assembly.

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

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

    5/20/2025Senate
  8. From printer. To re-engrossment. Re-engrossed. Second reprint.

    5/20/2025Senate
  9. Read second time. Amended. (Amend. No. 635.) To printer.

    5/19/2025Senate
  10. Placed on Second Reading File.

    5/19/2025Senate
  11. From committee: Amend, and do pass as amended.

    5/19/2025Senate
  12. Read first time. Referred to Committee on Health and Human Services. To committee.

    4/29/2025Senate
  13. In Senate.

    4/28/2025Senate
  14. To Senate.

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

    4/25/2025House
  16. To printer.

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

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

    4/21/2025House
  19. Read second time. Amended. (Amend. No. 447.)

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

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

    4/21/2025House
  22. From printer. To committee.

    3/7/2025House
  23. Read first time. Referred to Committee on Health and Human Services. To printer.

    3/6/2025House

Bill Text

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