All Roll Calls
Yes: 63 • No: 38
NevadaSB19283rd Regular Session (2025)SenateWALLET
AN ACT relating to public health; imposing requirements relating to birth in a hospital or freestanding birthing center; requiring health insurance to include certain coverage; requiring an independent mental health assessment of certain children in the custody of a child welfare agency; prohibiting the use of race-based health formulas and race-based care standards in certain circumstances; prohibiting a health insurer from engaging in certain discrimination against solo practitioners; providing for a study of certain disparities relating to health care; providing a penalty; and providing other matters properly relating thereto.
Sponsored By: Dina Neal (Democratic)
Failed
BDR 40-86
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Bill Overview
Analyzed Economic Effects
9 provisions identified: 8 benefits, 0 costs, 1 mixed.
Doula coverage expands in maternity plans
Nevada plans that cover maternity care must also cover doula services through a doula in the plan's network. This applies to covered policies and contracts delivered, issued for delivery, or renewed on or after January 1, 2026. Nevada's public employee self-insurance plan must also follow the doula coverage rule. Voluntary purchasing group contracts are included where the requirement applies without conflicting with their governing rules. The law does not set a coverage amount or your share of the cost.
Health plans must cover hormone therapy
Covered Nevada plans must cover testosterone replacement therapy for menopausal women and other FDA-approved hormone replacement therapy, lawfully prescribed or ordered. The rules apply to policies delivered, issued for delivery, or renewed on or after January 1, 2026. Drug or device coverage is required where specified, and benefits must be available through participating providers where required. Insurers cannot impose higher cost-sharing or longer waits for these treatments, or cancel coverage solely because someone uses them. They also cannot discourage use through incentives, penalize providers for offering treatment, or reward providers for limiting or delaying it. The law does not require fertility drug coverage.
Heart screening rules for school athletes
Beginning July 1, 2025, Nevada school districts with more than 100,000 public-school pupils must adopt sudden cardiac arrest prevention policies. These policies must require heart screening by electrocardiogram before students participate in school-sponsored competitive sports, when practicable. A physician, physician assistant, advanced practice registered nurse, or qualifying nonprofit organization can conduct the screening.
Independent mental health reviews for foster children
Nevada child welfare agencies must arrange a mental health review for children in custody with diagnosed mental or behavioral health conditions. No review is required if a later assessment already found the condition resolved. The review must happen early enough before custody ends to help plan ongoing care. A qualified clinician unaffiliated with the child's current placement must assess diagnoses and treatment progress in a culturally competent way. If the condition has not improved, the clinician must document that finding and recommend more treatment.
More support for patients giving birth
Nevada hospitals and freestanding birthing centers must allow a family member and a doula during birth when the patient asks. Both must follow the facility's policies. Facilities must tell deaf or hard-of-hearing patients in labor, or planning birth there, that qualified sign language interpreters are available. When the patient or their representative asks, the facility must provide an interpreter through discharge. The interpreter requirement has an exception when providing one is impractical or delays necessary care.
Solo providers gain insurance network protection
Health carriers offering network plans cannot reject a provider's request to join just because the provider works alone. Exceptions remain for specified third-party service arrangements, capitation payment arrangements, or disruption of existing network contracts. The rule protects solo practitioners from that reason for rejection, but does not guarantee admission to a network.
Limits on race-based rules in medical care
Nevada medical and nursing boards must list which race-based health formulas and care standards professionals may use. They can approve one only when no scientifically validated race-neutral alternative works at least as well for the same purpose. Physicians, osteopathic physicians, physician assistants, registered nurses, and licensed practical nurses cannot use or authorize unlisted formulas or standards. Boards must propose removing a listed item within one year after it no longer qualifies.
Stronger oversight of health maintenance plans
Beginning January 1, 2026, health maintenance organizations serving Nevada Medicaid recipients must follow the law's added plan requirements. This Medicaid applicability rule does not extend to services under their other contracts. The Insurance Commissioner can suspend or revoke an organization's authority for violations of listed coverage or charge rules. The Commissioner must follow the state's required process.
Nevada can oversee some out-of-state policies
Nevada's Insurance Commissioner can require Nevada-based insurers' policies delivered to residents of other states to meet specified Nevada standards. This authority applies when the other state's insurance official says the policy is not subject to their approval or rejection. The change adds potential standards for insurers and regulatory oversight for affected policyholders.
Sponsors & Cosponsors
Sponsor
Dina Neal
Democratic • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 6/2/2025
Final Passage - Assembly (4th Reprint)
Yes: 27 • No: 15
House vote • 5/31/2025
Final Passage - Assembly (3rd Reprint)
Yes: 23 • No: 16
Senate vote • 5/26/2025
Final Passage - Senate (2nd Reprint)
Yes: 13 • No: 7
Actions Timeline
(No further action taken.)
6/3/2025HouseRead third time. Passed, as amended. Title approved, as amended. (Yeas: 27, Nays: 15.)
6/2/2025HouseFrom printer. To reengrossment. Reengrossed. Fourth reprint.
6/2/2025HouseRead third time. Amended. (Amend. No. 965.) To printer.
6/1/2025HousePlaced on General File.
6/1/2025HouseTaken from Chief Clerk's desk.
6/1/2025HousePlaced on Chief Clerk's desk.
5/31/2025HouseTaken from General File.
5/31/2025HouseAction of passage reconsidered.
5/31/2025HouseRead third time. Passed, as amended. Title approved, as amended. (Yeas: 23, Nays: 16, Excused: 3.)
5/31/2025HouseTaken from General File. Placed on General File for next legislative day.
5/30/2025HouseFrom printer. To reengrossment. Reengrossed. Third reprint.
5/30/2025HouseRead second time. Amended. (Amend. No. 904.) To printer.
5/29/2025HousePlaced on Second Reading File.
5/29/2025HouseFrom committee: Amend, and do pass as amended.
5/29/2025HouseRead first time. Referred to Committee on Health and Human Services. To committee.
5/27/2025HouseIn Assembly.
5/27/2025HouseFrom printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly.
5/27/2025SenateRead third time. Passed, as amended. Title approved, as amended. (Yeas: 13, Nays: 7, Excused: 1.) To printer.
5/26/2025SenateReprinting dispensed with.
5/26/2025SenateRead third time. Amended. (Amend. No. 787.)
5/26/2025SenatePlaced on General File.
5/26/2025SenateFrom committee: Amend, and do pass as amended.
5/26/2025SenateFrom printer. To engrossment. Engrossed. First reprint. To committee.
4/25/2025SenateTaken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.
4/22/2025Senate
Bill Text
As Introduced
Reprint 1
Reprint 2
Reprint 3
Reprint 4
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