NevadaAB39583rd Regular Session (2025)HouseWALLET

AN ACT relating to health care; requiring certain health facilities and providers of health care to provide qualified sign language interpreters to certain persons who are deaf or hard of hearing; prescribing the circumstances under which such qualified sign language interpreters may be provided remotely; establishing requirements for providing remotely such qualified sign language interpreters; requiring the Department of Health and Human Services to maintain a list of certain facilities that provide services specialized to persons who are deaf or hard of hearing; and providing other matters properly relating thereto.

Sponsored By: Erica P. Roth (Democratic), Tracy Brown-May (Democratic)

Failed

BDR 40-841

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Bill Overview

Analyzed Economic Effects

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

More interpreter access for deaf patients

Beginning January 1, 2026, covered Nevada providers must tell deaf or hard-of-hearing patients about interpreters and other communication help. These rules apply in counties with at least 20,000 people. Providers must supply an in-person interpreter when requested at least 48 hours before a scheduled visit. Covered facilities must provide one within 2 hours of an unplanned inpatient arrival when requested. For other visits, providers must make a good-faith effort to supply an in-person interpreter. Remote interpreting is required when the patient requests it or an in-person interpreter remains unavailable after that effort. Interpreters must meet federal access standards and state registration rules. Remote calls must use clear, hands-free audio and video through a dedicated, secure call center that follows health privacy rules. Providers must train involved workers and record interpreter contacts, responses, timing, and the service provided. Exemptions cover specified attendants and emergency medical workers, federal medical facilities, foster homes, and certain religious care relying solely on prayer.

Care directory for deaf older adults

Beginning January 1, 2026, Nevada's Department of Health and Human Services must maintain an online care directory. It lists assisted living facilities and senior living communities with specialized services for deaf or hard-of-hearing people. The Department must update the list at least once a year.

Facilities face penalties for interpreter violations

Beginning January 1, 2026, covered Nevada facilities face enforcement for violating the interpreter access rules. Measures include admission limits, required improvements, and facility penalties up to $5,000 per day. A district attorney must prosecute violations when the state licensing Division applies. Providers can also face professional discipline. A licensee who helps a skilled nursing, intermediate care, or residential care facility violate the rules faces discipline. Fines for that conduct can reach $10,000 per violation. These penalties apply to facilities or licensees, not patients.

Sponsors & Cosponsors

Sponsors

  • Erica P. Roth

    Democratic • House

  • Tracy Brown-May

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. (No further action taken.)

    6/3/2025House
  2. To committee.

    4/24/2025House
  3. From printer. To engrossment. Engrossed. First reprint.

    4/24/2025House
  4. To printer.

    4/21/2025House
  5. Rereferred to Committee on Ways and Means. Exemption effective.

    4/21/2025House
  6. Taken from General File.

    4/21/2025House
  7. Read second time. Amended. (Amend. No. 455.)

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

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

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

    3/25/2025House
  11. From printer. To committee.

    3/12/2025House
  12. Read first time. Referred to Committee on Health and Human Services. To printer.

    3/11/2025House

Bill Text

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