# Nevada AB519: AN ACT relating to health care; establishing separate provisions for the licensing or certification, regulation and discipline of agencies to provide personal care services in the home, employment agencies that contract to provide certain nonmedical services and intermediary service organizations; enacting provisions to facilitate the collecting of certain debts from applicants for certain licenses; imposing certain requirements as an applicant for a certificate to operate an intermediary service organization; revising the training requirements for certain caregivers who receive reimbursement through Medicaid; authorizing a family member to serve as the personal care assistant for a recipient of Medicaid under certain circumstances; providing penalties; and providing other matters properly relating thereto. Nevada AB519, AN ACT relating to health care; establishing separate provisions for the licensing or certification, regulation and discipline of agencies to provide personal care services in the home, employment agencies that contract to provide certain nonmedical services and intermediary service organizations; enacting provisions to facilitate the collecting of certain debts from applicants for certain licenses; imposing certain requirements as an applicant for a certificate to operate an intermediary service organization; revising the training requirements for certain caregivers who receive reimbursement through Medicaid; authorizing a family member to serve as the personal care assistant for a recipient of Medicaid under certain circumstances; providing penalties; and providing other matters properly relating thereto., is a 83rd Regular Session (2025) House bill sponsored by Assembly Committee on Health and Human Services; status signed, last action 2025-05-30 (Chapter 158.); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-AB519-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada AB519 - State: Nevada - Session: 83rd Regular Session (2025) - Title: AN ACT relating to health care; establishing separate provisions for the licensing or certification, regulation and discipline of agencies to provide personal care services in the home, employment agencies that contract to provide certain nonmedical services and intermediary service organizations; enacting provisions to facilitate the collecting of certain debts from applicants for certain licenses; imposing certain requirements as an applicant for a certificate to operate an intermediary service organization; revising the training requirements for certain caregivers who receive reimbursement through Medicaid; authorizing a family member to serve as the personal care assistant for a recipient of Medicaid under certain circumstances; providing penalties; and providing other matters properly relating thereto. - Status: signed - Chamber: House - Introduced: 2025-03-24 - Last action: 2025-05-30, Chapter 158. - Sponsor: Assembly Committee on Health and Human Services - Cosponsors: 0 - Subjects: BDR 40-805 - Touches household money: yes - Roll calls: 2 (63 yes, 0 no in all) - Economic provisions PRIA read: 34 ## Summary No summary available. ## Bill overview: provisions PRIA read - Family can be paid caregivers: benefit, medium. A family member may serve as a paid personal care assistant for a Medicaid recipient. The family member must finish the training in section 30 and get authorization from a health care provider under NRS 629.091. This option applies only when federal Medicaid rules allow it. - Medicaid pay for self-directed care: benefit, medium. The law lets a Medicaid recipient be treated as a provider. The recipient can receive the Medicaid payment and use it to pay a personal care assistant or a home care agency under a self-directed model. The state applies for a waiver to pay family caregivers for people with dementia. The caregiver m… - More simple health tasks at home: benefit, medium. Trained agency staff may, with the person’s consent, take vital signs, help with insulin auto-injectors, and perform FDA‑approved blood sugar tests. These tasks must follow CLIA and other federal rules, and a blood glucose device may not be used on more than one person. Tasks done under these Board… - Privacy and respect rules for clients: benefit, medium. Agencies must keep private a client’s sexual orientation, transgender status or surgery, and HIV status. Staff not giving care cannot be present when a client is unclothed without permission; visual barriers must protect privacy. Clients can refuse exams or observations done mainly for teaching. Ag… - Tougher penalties for assaulting health workers: benefit, medium. Assaulting a health‑care provider at work is a gross misdemeanor. Using a deadly weapon makes it a category B felony with 1 to 6 years in prison and up to a $5,000 fine. If the attacker is on probation, in custody, or on parole, the assault is a category D felony, or category B with a deadly weapon. - No discrimination by home-care agencies: benefit, low. Home-care agencies and their workers must not discriminate against clients based on race, color, religion, origin, age, gender, disability, sexual orientation, gender identity, HIV status, or association. Agencies must adopt policies to prevent discrimination and post a nondiscrimination statement… - Report elder abuse within 24 hours: benefit, low. Staff of home personal care and nursing agencies and intermediary organizations must report suspected abuse, neglect, exploitation, isolation, or abandonment of older or vulnerable persons. Make the report as soon as possible, and no later than 24 hours. If the accused person holds a state health o… - Stronger help for seniors using home care: benefit, low. Nevada 2‑1‑1 must show the current licensing status of listed care providers and update it at least every three months. An older patient can file a verified complaint within one year if a home‑care agency or intermediary damages property. If liable, money from the provider’s surety bond can be used… - Better care handoffs and diet help: benefit, low. When a hospital sends a patient home to receive in‑residence care from a chapter 449‑licensed entity, that entity must consult a dietitian when appropriate so the patient or caregiver understands dietary needs. When a patient is moved from a division facility to another facility or provider, the se… - No license renewal fee on active duty: benefit, low. If you serve on active duty in the U.S. Armed Forces or U.S. Public Health Service, you do not pay the annual license renewal fee while on active duty. - Fewer duplicate licenses for providers: benefit, low. If you already hold a related state license, you do not need a second license to contract for nonmedical personal care. Licensed facilities and agencies do not need a separate community health worker pool license. The law also removes an older required elder‑abuse training for these agencies and tr… - Complaint reports and use of fines: benefit, low. The Division keeps a log of complaints that could lead to license revocation and sends a report every two years by February 1. Money from administrative penalties is kept in a separate account and used to run and enforce these programs to protect clients’ health, safety, and property. - Smooth shift to new home‑care rules: benefit, low. This law takes effect upon passage. Licenses and ISO certificates that are valid on that date stay valid until their normal expiration if you remain qualified. Any valid training finished by operators, workers, and chosen Medicaid caregivers before that date still counts. Disciplinary actions alrea… - Bonds or deposits for care providers: cost, high. Home care agencies must keep a surety bond to protect clients: $5,000 for fewer than 7 employees, $25,000 for 7–25, and $50,000 for more than 25. A license is suspended if coverage lapses. With approval, an intermediary organization may deposit approved bank or government securities instead of a bo… - Licenses and renewals for home-care businesses: cost, medium. You must hold a state license to run a home personal care agency or an employment agency that places nonmedical caregivers in Nevada. The State Board of Health sets licensing rules, fees, and training. At renewal, you must say if you have a state business license and give your business ID. The Divi… - New certificate and bonds for intermediaries: cost, medium. You must have a state certificate to run an intermediary service organization. Operating without one is a misdemeanor. You must file a surety bond sized by staff: $5,000 (<7 employees), $25,000 (7–25), or $50,000 (>25). Your application must include required details and your Social Security number,… - Foreclosure filing adds $250 in fees: cost, low. When a notice of default and election to sell is recorded, extra fees total $250. You pay $150 to the State, $95 to a foreclosure‑mediation account, and $5 to the county. - More training required for health providers: cost, low. Many license holders must add suicide prevention and cultural competency hours. Therapists and counselors need at least 2 hours in suicide prevention and 6 hours in cultural competency. Social workers need 2 hours in suicide prevention and 6 hours in cultural competency every two years; alcohol and… - New limits on medical board seats: cost, low. People who run home-care agencies cannot serve in certain medical board seats. The nonlicensed resident member of the osteopathic board must be a Nevada resident, not licensed in any healing art, not a close relative of a licensee, and not run a medical facility, dependent‑care facility, or home‑ca… - Stronger background checks for home care: mixed, medium. Certificate applicants must submit fingerprints for an FBI check. Within 10 days of hire or contract, organizations must collect written conviction statements, take fingerprints, and submit them; they must re‑check at least every 5 years. If a listed crime is found, the worker must be removed after… - Worker rules and sleep pay in home care: mixed, medium. The law clarifies who counts as a home‑care employee: agency staff, ISO‑employed personal assistants, and contracted respite staff. If your fingerprints were sent to the state within the last 6 months, a sheriff may not require a new check. For 24‑hour or longer shifts, you and your employer can ag… - ID and child‑support checks for certificates: mixed, medium. Applicants must submit a child‑support compliance statement. If the Division gets a court order to suspend licenses, a certificate is suspended on day 30 unless a compliance letter arrives. Applications cannot be denied just because of immigration status. If you do not have an SSN, you may provide… - Licensing rules for home care agencies: mixed, medium. To get a license, an agency must give its address, services, the person in charge, proof of good character, and show it can follow the rules. The Board sets application fees and may allow installments. Licenses are nontransferable, list who may operate and services, expire on December 31, and renew… - New rules for intermediary organizations: mixed, medium. The Division issues a certificate only when the applicant meets all laws and standards. Each certificate names the operator and services, expires on December 31, and renews yearly with required fees and a compliance statement. The Division can give a provisional certificate while fixes are made, an… - Required training for caregivers and agencies: mixed, medium. Unlicensed caregivers and people paid by Medicaid for personal care must take training set by the State Board of Health. Training must include infection control and is reviewed each year. Applicants, managers, and staff must get elder‑abuse recognition and prevention training before providing care… - Stronger background checks for home care staff: mixed, medium. Agencies and placement firms must run background checks within 10 days of hire or contract and recheck at least every 5 years. License applicants must submit fingerprints; the state and FBI report results to the agency and the state right away. Recent clean checks can be reused: within 6 months (no… - Tough inspections and fines for home care: mixed, medium. The Division can inspect agencies anytime, with or without notice, and must issue written reports with fix steps. It can stop services, appoint temporary managers, and fine up to $5,000 per day per violation, with interest up to 10% yearly, and collect court and attorney fees if unpaid. Local prose… - Provider status expands; emergency immunity narrows: mixed, low. Paid in‑home caregivers and certain identified staff or volunteers are now counted as “providers of health care,” which brings them under provider rules and protections. At the same time, employees of in‑home personal care agencies are no longer explicitly listed as protected from civil damages whe… - New continuing education rules for clinicians: mixed, low. Registered behavior technicians do not have to complete Board‑mandated continuing education. Osteopathic licensees cannot use suicide‑prevention credits to meet ethics CE; they must complete both. Courses on genetic counseling and testing now count toward CE totals for certain licenses. - Criminal record precheck before you apply: mixed, low. You can ask the Division to decide in advance if your criminal record blocks a license. The Division must answer within 90 days. It may charge up to $50, but can waive it or let a scholarship or grant pay. You may need to submit state and FBI reports. You can reapply after completing fix steps, or… - Stronger screening for home-care workers: mixed, low. Temp agencies may not send a worker to a home-care agency or an intermediary organization after being told the worker is ineligible. Temp agencies must show each worker has been continuously employed since the last background check and tell the organization if that check is older than five years. I… - Small fee and less paperwork for agencies: mixed, low. The Board may add a license renewal fee for in‑home personal care agencies, up to 8% of the standard issuance or renewal fee. Money supports the cancer reporting system. These agencies no longer must include a specific compliance statement when they reapply, reducing paperwork. - Home-care oversight moves to new chapter: mixed, low. Personal care agencies are taken out of older “facility for the dependent” rules and regulated under a new chapter run by DHHS. The Legislative Committee now reviews regulations under the new chapter for effects on health care costs and provider availability. The law updates definitions to remove p… - Who the home care rules cover: mixed, low. The law defines who counts as a home personal care agency and who is excluded, like solo independent contractors and certain family‑and‑friends groups. It lists covered nonmedical tasks, such as bathing, dressing, meals, laundry, shopping, cleaning, and rides. In‑home personal care agencies are now… ## Sponsors and cosponsors - Sponsor: Assembly Committee on Health and Human Services ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-21 | Senate | Final Passage - Senate (1st Reprint) | pass | 21 | 0 | | | 2025-04-22 | House | Final Passage - Assembly (1st Reprint) | pass | 42 | 0 | | ## Actions (20) - 2025-05-30: Chapter 158. (legislature) - 2025-05-30: Approved by the Governor. (legislature) - 2025-05-27: Enrolled and delivered to Governor. (legislature) - 2025-05-22: In Assembly. To enrollment. (House) - 2025-05-21: Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly. (Senate) - 2025-05-20: Taken from General File. Placed on General File for next legislative day. (Senate) - 2025-05-19: Read second time. (Senate) - 2025-05-16: From committee: Do pass. (Senate) - 2025-04-29: Read first time. Referred to Committee on Health and Human Services. To committee. (Senate) - 2025-04-28: In Senate. (Senate) - 2025-04-25: To Senate. (House) - 2025-04-25: From printer. To engrossment. Engrossed. First reprint. (House) - 2025-04-22: To printer. (House) - 2025-04-22: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) (House) - 2025-04-21: Dispensed with reprinting. (House) - 2025-04-21: Read second time. Amended. (Amend. No. 451.) (House) - 2025-04-21: Placed on Second Reading File. (House) - 2025-04-21: From committee: Amend, and do pass as amended. (House) - 2025-03-26: From printer. To committee. (House) - 2025-03-24: Read first time. Referred to Committee on Health and Human Services. To printer. (House) ## Bill text - As Enrolled: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB519_EN.pdf) - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB519.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB519_R1.pdf) ## Related bills - AB499: AN ACT relating to elections; requiring, with certain exceptions, a registered voter show photo identification to vote in person; requiring the Department of M… (vetoed) - 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; revisi… (vetoed) - 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 su… (vetoed) - AB188: AN ACT relating to the Public Employees' Benefits Program; requiring the Board of the Public Employees' Benefits Program to report certain information relating… (vetoed) - SB217: AN ACT relating to health care; prohibiting a governmental entity from substantially burdening certain activity relating to assisted reproduction under certain… (vetoed) - AB514: AN ACT relating to mental health; requiring Medicaid to provide coverage for rehabilitative residential mental health care; requiring the State Long-Term Care… (signed) ## Sources - [As Enrolled (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB519_EN.pdf) - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB519.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB519_R1.pdf) ## Related - [AB499: AN ACT relating to elections; requiring, with certain exceptions, a registered…](https://policyrisk.com/state-bill/NV-AB499-83rd2025) - [AB397: AN ACT relating to higher education; revising provisions governing certain waiv…](https://policyrisk.com/state-bill/NV-AB397-83rd2025) - [AB259: AN ACT relating to health care; prohibiting certain actions related to pricing…](https://policyrisk.com/state-bill/NV-AB259-83rd2025) - [AB188: AN ACT relating to the Public Employees' Benefits Program; requiring the Board…](https://policyrisk.com/state-bill/NV-AB188-83rd2025) - [SB217: AN ACT relating to health care; prohibiting a governmental entity from substant…](https://policyrisk.com/state-bill/NV-SB217-83rd2025) - [AB514: AN ACT relating to mental health; requiring Medicaid to provide coverage for re…](https://policyrisk.com/state-bill/NV-AB514-83rd2025) - [Nevada bills](https://policyrisk.com/states/nevada/bills) - [Nevada state hub](https://policyrisk.com/states/nevada) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/NV-AB519-83rd2025 (as of 2026-11-01).