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

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

Medicaid covers residential mental health rehab

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.

New licenses for mental health rehab homes

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.

Stronger inspections and safety alerts for rehab homes

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.

Higher reapplication fees and compliance checks

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.

Sponsors & Cosponsors

Sponsor

  • Assembly Committee on Health and Human Services

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

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

Actions Timeline

  1. Chapter 485.

    6/11/2025legislature
  2. Approved by the Governor.

    6/10/2025legislature
  3. Enrolled and delivered to Governor.

    6/6/2025legislature
  4. In Assembly. To enrollment.

    6/4/2025House
  5. To Assembly.

    6/2/2025Senate
  6. Read third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.)

    6/2/2025Senate
  7. Read second time.

    6/1/2025Senate
  8. Placed on Second Reading File.

    6/1/2025Senate
  9. From committee: Do pass.

    6/1/2025Senate
  10. Re-referred to Committee on Finance. To committee.

    5/31/2025Senate
  11. From committee: Do pass.

    5/31/2025Senate
  12. Read first time. Referred to Committee on Health and Human Services. To committee.

    5/31/2025Senate
  13. In Senate.

    5/31/2025Senate
  14. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To Senate.

    5/30/2025House
  15. From printer. To reengrossment. Reengrossed. Second reprint.

    5/30/2025House
  16. Read third time. Amended. (Amend. No. 877.) To printer.

    5/29/2025House
  17. Placed on General File.

    5/29/2025House
  18. From committee: Amend, and do pass as amended.

    5/29/2025House
  19. To committee.

    4/22/2025House
  20. From printer. To engrossment. Engrossed. First reprint.

    4/22/2025House
  21. To printer.

    4/18/2025House
  22. Rereferred to Committee on Ways and Means. Exemption effective.

    4/18/2025House
  23. Taken from General File.

    4/18/2025House
  24. Read second time. Amended. (Amend. No. 454.)

    4/18/2025House
  25. Placed on Second Reading File.

    4/18/2025House

Bill Text

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