All Roll Calls
Yes: 60 • No: 0
NevadaSB17083rd Regular Session (2025)SenateWALLET
AN ACT relating to industrial insurance; requiring a firefighter who is not employed by the Executive Department of the State Government or volunteer firefighter to submit to an annual cancer screening for certain industrial insurance coverage for cancer; revising provisions governing the administration of physical examinations required of certain firefighters, arson investigators and police officers who are not employed by the Executive Department of the State Government for certain industrial insurance coverage for lung disease and heart disease; and providing other matters properly relating thereto.
Sponsored By: John C. Steinbeck (Republican), Melanie Scheible (Democratic)
Signed by Governor
BDR 53-632
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 4 benefits, 0 costs, 1 mixed.
Annual cancer screenings for firefighters
Beginning July 1, 2026, covered firefighters who are not in the Executive Department and covered volunteer firefighters must get a cancer screening at hire (if offered), when coverage starts, and every year. Screenings include a skin exam, a urine test, and a stool blood test. Women 40 and older need a mammogram; women also get a Pap test. Men get a PSA blood test and a testicular exam. A thyroid exam is included. If you are 45 or older, you need a colonoscopy if you have not had one in the past 10 years. A woman may skip a mammogram or Pap if her doctor certifies it was done in the last 12 months or is not needed. Employers must pay for these screenings.
Qualified clinicians and stricter medical privacy
Beginning July 1, 2026, exams and screenings should be done, when possible, by a Nevada‑licensed doctor or an advanced practice nurse who knows the demands of firefighting and police work. Results can be shared only with the examining clinician, the employee, the employer’s HR or risk manager (or designee), and the insurer if a claim is filed. Any employer report may list only your name and whether you meet the job’s physical standards. These rules follow HIPAA and any stricter union agreement.
Stronger health exams for firefighters and police
Beginning July 1, 2026, covered non‑Executive employees must get a detailed physical exam. It includes hearing and TB tests; broad bloodwork; lung function testing with spirometry; a chest X‑ray read by a radiologist; vision and color vision tests; and heart checks with a resting ECG. If you are 40 or older, you also need a stress ECG, and a coronary calcium score if you have not had one in the past 3 years. For lung coverage, exams are at hire, when coverage starts, every 2 years until age 40, and every year after; Executive Department employees must include lung function testing and a chest X‑ray. For heart coverage, exams are at hire, when coverage starts, and every year; Executive Department employees must include a heart exam. Employers pay for required exams.
Local budget rules eased for costs
Beginning July 1, 2026, extra costs that local governments face because of this law are not subject to NRS 354.599 limits or procedures. This helps local governments pay for the exams and screenings the law requires.
Volunteer firefighter exam rules and deadlines
Beginning July 1, 2026, active volunteer firefighters must get an exam at hire, at coverage start, and every 3 years until age 50; at 50 and older, every 2 years. For lung coverage, you must also get a chest X‑ray every 3 years until age 50. The employer must schedule exams, mail written notice at least 10 days ahead with proof, and pay for required exams. Applicants age 50 and older may be asked to pay for the initial exam, but get reimbursed if found fit and they join. If you miss a scheduled exam, you lose benefits under this section.
Sponsors & Cosponsors
Sponsors
John C. Steinbeck
Republican • Senate
Melanie Scheible
Democratic • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 5/31/2025
Final Passage - Assembly (2nd Reprint)
Yes: 39 • No: 0
Senate vote • 5/22/2025
Final Passage - Senate (2nd Reprint)
Yes: 21 • No: 0
Actions Timeline
Chapter 381.
6/6/2025legislatureApproved by the Governor.
6/6/2025legislatureEnrolled and delivered to Governor.
6/4/2025legislatureTo enrollment.
6/2/2025SenateIn Senate.
6/1/2025SenateRead third time. Passed. Title approved. (Yeas: 39, Nays: None, Excused: 3.) To Senate.
5/31/2025HouseRead second time.
5/30/2025HousePlaced on Second Reading File.
5/30/2025HouseFrom committee: Do pass.
5/30/2025HouseRead first time. Referred to Committee on Commerce and Labor. To committee.
5/26/2025HouseIn Assembly.
5/26/2025HouseFrom printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly.
5/23/2025SenateRead third time. Passed, as amended. Title approved. (Yeas: 21, Nays: None.) To printer.
5/22/2025SenateReprinting dispensed with.
5/22/2025SenateRead third time. Amended. (Amend. No. 716.)
5/22/2025SenatePlaced on General File.
5/22/2025SenateFrom committee: Amend, and do pass as amended.
5/22/2025SenateTo committee.
4/22/2025SenateFrom printer. To engrossment. Engrossed. First reprint.
4/22/2025SenateTaken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.
4/18/2025SenateRead second time. Amended. (Amend. No. 302.)
4/18/2025SenateNotice of eligibility for exemption.
4/18/2025SenatePlaced on Second Reading File.
4/18/2025SenateFrom committee: Amend, and do pass as amended.
4/18/2025SenateRead first time. To committee.
2/5/2025Senate
Bill Text
As Enrolled
As Introduced
Reprint 1
Reprint 2
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