All Roll Calls
Yes: 62 • No: 0
NevadaAB51483rd Regular Session (2025)HouseWALLET
AN ACT relating to mental health; requiring Medicaid to provide coverage for rehabilitative residential mental health care; requiring the State Long-Term Care Ombudsman to investigate and provide certain assistance to providers of rehabilitative residential mental health care; providing for the licensure and regulation of providers of rehabilitative residential mental health care; making appropriations to and authorizing certain expenditures by the Division of Health Care Financing and Policy of the Department of Health and Human Services; providing a penalty; and providing other matters properly relating thereto.
Sponsored By: Assembly Committee on Health and Human Services
Signed by Governor
BDR 38-350
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 3 benefits, 0 costs, 2 mixed.
Medicaid covers residential mental health care
Beginning July 1, 2026, Nevada Medicaid covers medically monitored rehabilitative services in a residential setting. Medicaid does not have to pay for room and board. The state must seek federal approval, and coverage applies when federal matching funds are available. To launch this, the state provides $30,800 in FY 2025–26 and $551,899 in FY 2026–27, plus $92,400 and $1,639,954 from non‑General Fund sources, starting July 1, 2025.
Stronger safety checks at rehab homes
State inspectors and the State Fire Marshal can enter and check these facilities. The Chief Medical Officer inspects at least once a year. The Division must inspect within 72 hours if it learns a provider is operating without a license. If inspectors find a health or safety problem, the facility must tell the resident right away, and also the parent, guardian, or named contact.
Who can work in rehab homes
Starting July 1, 2026, a person may provide care if they hold a license under chapter 449. A person may also provide care if they work for or contract with a licensed entity. This allows employees and independent contractors to deliver care under a licensed provider.
Clear legal category for rehab homes
Beginning July 1, 2026, these providers are formally included as health facilities and facilities for dependents. Their services are part of living arrangement services but are separate from other community‑based living arrangement services. Locations that provide this care are not classed as individual residential care homes or group residential facilities. This places them under their own licensing and oversight rules.
New licenses and deadlines for providers
Starting July 1, 2026, the State Board sets licensing rules for rehabilitative residential mental health providers, with separate rules for minors and adults. Licenses expire each December 31 and must be renewed yearly with required compliance statements and fees. Applications must include an inspection of each building, and licenses cover only the named person and address. Providers operating on July 1, 2026 may keep operating without a license until January 1, 2027.
Sponsors & Cosponsors
Sponsor
Assembly Committee on Health and Human Services
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
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: 42 • No: 0
Actions Timeline
Chapter 485.
6/11/2025legislatureApproved by the Governor.
6/10/2025legislatureEnrolled and delivered to Governor.
6/6/2025legislatureIn Assembly. To enrollment.
6/4/2025HouseTo Assembly.
6/2/2025SenateRead third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.)
6/2/2025SenateRead second time.
6/1/2025SenatePlaced on Second Reading File.
6/1/2025SenateFrom committee: Do pass.
6/1/2025SenateRe-referred to Committee on Finance. To committee.
5/31/2025SenateFrom committee: Do pass.
5/31/2025SenateRead first time. Referred to Committee on Health and Human Services. To committee.
5/31/2025SenateIn Senate.
5/31/2025SenateRead third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To Senate.
5/30/2025HouseFrom printer. To reengrossment. Reengrossed. Second reprint.
5/30/2025HouseRead third time. Amended. (Amend. No. 877.) To printer.
5/29/2025HousePlaced on General File.
5/29/2025HouseFrom committee: Amend, and do pass as amended.
5/29/2025HouseTo committee.
4/22/2025HouseFrom printer. To engrossment. Engrossed. First reprint.
4/22/2025HouseTo printer.
4/18/2025HouseRereferred to Committee on Ways and Means. Exemption effective.
4/18/2025HouseTaken from General File.
4/18/2025HouseRead second time. Amended. (Amend. No. 454.)
4/18/2025HousePlaced on Second Reading File.
4/18/2025House
Bill Text
As Enrolled
As Introduced
Reprint 1
Reprint 2
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