All Roll Calls
Yes: 62 • No: 0
Sponsored By: Assembly Committee on Health and Human Services
Signed by Governor
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4 provisions identified: 1 benefits, 1 costs, 2 mixed.
Nevada Medicaid now covers rehabilitative residential mental health care. The law defines this as medically monitored, community-based residential treatment that helps recovery and independent living skills. The state must get federal approval and matching funds, so coverage applies when federal funding is available. Medicaid is not required to pay room and board for this care. The service is added to state living‑arrangement services and removed from community‑based living arrangement services to align rules. The Department runs and oversees this new coverage, and the state funds rollout and system upgrades with $30,800 (FY25–26) and $551,899 (FY26–27) from the General Fund, plus $92,400 and $1,639,954 from other sources.
The law creates a distinct licensing path for rehabilitative residential mental health care and moves these homes under health‑facility rules, not group or individual residential care. The State Board must set operating standards, with separate rules for providers serving minors and adults. Starting July 1, 2026, these providers are legally treated as health facilities and must meet chapter 449 requirements. Natural persons may provide this care if they hold a chapter 449 license or contract with a licensed entity. Providers operating on July 1, 2026 may keep operating without a Division license until January 1, 2027.
For these facilities, the Division must inspect any building as part of a license investigation. Beginning July 1, 2026, officials can enter at any time to check compliance; the Fire Marshal reviews emergency plans on request or complaint; and the Chief Medical Officer inspects at least yearly. If a provider operates without a license, the Division must inspect within 72 hours. Providers must immediately tell the patient, parent, guardian, or designated contact about any inspection finding that affects health or safety.
Starting July 1, 2026, listed facilities must pay an additional Board‑set fee when reapplying for a license, on top of existing fees. Reapplications for the specified providers must also include statements that the facility and staff follow Nevada health laws (NRS 449.115–449.125, 449.174, and for some, 449.093). This raises reapplication costs and adds compliance attestations for owners.
Assembly Committee on Health and Human Services
Affiliation unavailable
There are no cosponsors for this bill.
All Roll Calls
Yes: 62 • No: 0
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
Chapter 485.
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.
Re-referred to Committee on Finance. To committee.
From committee: Do pass.
Read first time. Referred to Committee on Health and Human Services. To committee.
In Senate.
Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To Senate.
From printer. To reengrossment. Reengrossed. Second reprint.
Read third time. Amended. (Amend. No. 877.) 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. 454.)
Placed on Second Reading File.
As Enrolled
As Introduced
Reprint 1
Reprint 2
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.
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.
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.
AB533, AN ACT relating to education; authorizing a pupil to attend a public school outside the zone of attendance the pupil is otherwise required to attend in certain circumstances; requiring the Department of Education to establish a program to award grants of money for the purpose of providing transportation to such pupils; and providing other matters properly relating thereto.