All Roll Calls
Yes: 58 • No: 4
Sponsored By: Cinthia Zermeño Moore (Democratic), Daniele Monroe-Moreno (Democratic), Erica P. Roth (Democratic), Natha C. Anderson (Democratic), Tanya P. Flanagan (Democratic)
Signed by Governor
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5 provisions identified: 2 benefits, 1 costs, 2 mixed.
Private health plans must cover care that preserves fertility if you have breast or ovarian cancer and risk infertility. Your doctor must find the care medically necessary and follow ASRM or ASCO guidance. Plans provide this through in‑network providers. This applies to policies delivered, issued, or renewed on or after January 1, 2026. Conflicting plan terms do not apply. An insurer affiliated with a religious organization can refuse this coverage, but it must give you written notice before issue and before renewal. Plans bought through voluntary purchasing groups must follow these rules when not in conflict with other laws. The Insurance Commissioner can require some out‑of‑state‑delivered policies from Nevada insurers to meet these Nevada standards when the other state does not review them.
Managed care plans must cover medically necessary fertility‑preserving care for people with breast or ovarian cancer. Care must follow ASRM or ASCO guidance and be in‑network. This applies to plans delivered, issued, or renewed on or after January 1, 2027. A managed care plan tied to a religious organization may refuse this coverage, but it must give written notice before issue and before renewal. The Insurance Commissioner can suspend or revoke an HMO’s certificate for failing to provide required coverage or issuing noncompliant documents, starting January 1, 2027.
Medicaid covers medically necessary fertility‑preserving care if you have breast or ovarian cancer and your cancer or treatment may cause infertility. Coverage follows ASRM or ASCO guidance and depends on federal matching funds. The state must seek any needed federal waiver or State Plan change. HMOs serving Medicaid enrollees must follow these rules starting January 1, 2026. The Medicaid benefit takes effect January 1, 2027. The state funds start‑up and system work with $158,600 in FY 2025–26 and $69,434 in FY 2026–27 from the General Fund, plus $225,800 and $193,008 from other funds. Unspent money reverts by September 18, 2026 and September 17, 2027.
If the state Board offers a self‑insured health plan, it must follow the same rules as insurers. That includes covering medically necessary fertility‑preserving care for breast or ovarian cancer. This requirement starts January 1, 2027.
The usual local spending limit rule does not apply to extra costs tied to this law. This change affects local budgets and accounting, not direct household payments.
Cinthia Zermeño Moore
Democratic • House
Daniele Monroe-Moreno
Democratic • House
Erica P. Roth
Democratic • House
Natha C. Anderson
Democratic • House
Tanya P. Flanagan
Democratic • House
Brittney M. Miller
Democratic • House
Cecelia González
Democratic • House
Elaine H. Marzola
Democratic • House
Hanadi Nadeem
Democratic • House
Linda F. Hunt
Democratic • House
Max E. Carter II
Democratic • House
Reuben D'Silva
Democratic • House
Sandra Jauregui
Democratic • House
Selena La Rue Hatch
Democratic • House
Selena Torres-Fossett
Democratic • House
Steve Yeager
Democratic • House
Tracy Brown-May
Democratic • House
Venicia Considine
Democratic • House
Venise Karris
Democratic • House
All Roll Calls
Yes: 58 • No: 4
Senate vote • 6/2/2025
Final Passage - Senate (2nd Reprint)
Yes: 20 • No: 0
House vote • 5/30/2025
Final Passage - Assembly (2nd Reprint)
Yes: 38 • No: 4
Chapter 473.
Approved by the Governor.
Enrolled and delivered to Governor.
In Assembly. To enrollment.
To Assembly.
Read third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.)
Read second time.
Placed on Second Reading File.
From committee: Do pass.
Read first time. Referred to Committee on Commerce and Labor. To committee.
In Senate.
Read third time. Passed, as amended. Title approved, as amended. (Yeas: 38, Nays: 4.) To Senate.
From printer. To reengrossment. Reengrossed. Second reprint.
Read third time. Amended. (Amend. No. 891.) To printer.
Placed on General File.
From committee: Amend, and do pass as amended.
To committee.
From printer. To engrossment. Engrossed. First reprint.
To printer.
Rereferred to Committee on Ways and Means. Exemption effective.
Taken from General File.
Read second time. Amended. (Amend. No. 439.)
Placed on Second Reading File.
From committee: Amend, and do pass as amended.
Notice of eligibility for exemption.
As Enrolled
As Introduced
Reprint 1
Reprint 2
AB397, AN ACT relating to higher education; revising provisions governing certain waivers of fees provided by the Board of Regents of the University of Nevada; revising the criteria of eligibility for a waiver of fees by the Board of Regents for certain persons who are or were unaccompanied for a certain period of time; revising the criteria of eligibility for a waiver of fees by the Board of Regents for certain Native American students; providing for the continuity of waivers previously provided for certain Native American students; repealing certain provisions requiring the Chancellor of the Nevada System of Higher Education to cause to be analyzed certain natural materials upon the request of a resident of this State; and providing other matters properly relating thereto.
AB259, AN ACT relating to health care; prohibiting certain actions related to pricing and reimbursement for certain drugs; creating a cause of action for violating such prohibitions; and providing other matters properly relating thereto.
AB188, AN ACT relating to the Public Employees' Benefits Program; requiring the Board of the Public Employees' Benefits Program to report certain information relating to the costs of health insurance for certain retirees; revising provisions relating to the subsidy paid for certain health and welfare benefits for certain state employees who have retired with state service; revising requirements for certain retired public officers and employees to reinstate insurance under the Program; revising provisions relating to certain subsidies paid to the Program for the 2025-2027 biennium; requiring the Joint Interim Standing Committee on Government Affairs to conduct an interim study on the Program; making an appropriation; and providing other matters properly relating thereto.
AB499, AN ACT relating to elections; requiring, with certain exceptions, a registered voter show photo identification to vote in person; requiring the Department of Motor Vehicles, under certain circumstances, to issue identification cards at no charge; requiring the Secretary of State to issue digital identification cards; requiring a county clerk in certain counties to establish a certain number of locations for a voter to return his or her mail ballot to a mail ballot drop box during the period between the last day for early voting and the day before the date of the general election; authorizing a county clerk in certain counties to establish such locations; authorizing a person, under certain circumstances, to return a mail ballot to a mail ballot drop box established at such a location on behalf of a voter; requiring the Secretary of State to establish and maintain a voter services portal on the Internet website of the Office of the Secretary of State; requiring the county clerk to include certain information relating to the voter services portal on any communication to a registered voter; requiring the Department of Motor Vehicles to submit electronically to the Secretary of State certain information relating to each person who has a driver's license or identification card issued by the Department; requiring the Secretary of State to include certain information received from the Department in the centralized, top-down database that is established by the Secretary of State for purposes of creating the statewide voter registration list; requiring certain information to be included on the return envelope for a mail ballot; revising provisions relating to curing mail ballots; requiring mail ballot drop boxes to be monitored and secured; providing that certain information on the statewide voter registration list relating to a voter is confidential and not a public record; making various other changes relating to elections; making appropriations; and providing other matters properly relating thereto.
SB217, AN ACT relating to health care; prohibiting a governmental entity from substantially burdening certain activity relating to assisted reproduction under certain circumstances; authorizing a person whose engagement in such activity has been so burdened to assert the violation as a claim or defense in a judicial proceeding; authorizing a court to award damages against a governmental entity that substantially burdens such activity in certain circumstances; providing certain immunity from civil and criminal liability and administrative sanctions for certain persons and entities involved in the provision of assisted reproduction; providing that a fertilized egg or human embryo that exists before implantation in a human uterus is not a person for legal purposes; requiring certain health insurers to authorize a pregnant person to enroll in a health plan during a specified period; requiring certain public and private health insurers to provide certain coverage for the treatment of infertility and fertility preservation; providing a penalty; and providing other matters properly relating thereto.
AB409, AN ACT relating to motor vehicles; requiring the Department of Motor Vehicles, under certain circumstances, to issue a special license plate honoring certain veterans; authorizing the combination of personalized prestige license plates and certain special license plates associated with military service; and providing other matters properly relating thereto.