# Nevada SB192: 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. Nevada SB192, 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., is a 83rd Regular Session (2025) Senate bill sponsored by Dina Neal (Democratic); status failed, last action 2025-06-03 ((No further action taken.)); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-SB192-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada SB192 - State: Nevada - Session: 83rd Regular Session (2025) - Title: 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. - Status: failed - Chamber: Senate - Introduced: 2025-02-06 - Last action: 2025-06-03, (No further action taken.) - Sponsor: Dina Neal (Democratic) - Cosponsors: 0 - Subjects: BDR 40-86 - Touches household money: yes - Roll calls: 3 (63 yes, 38 no in all) - Economic provisions PRIA read: 9 ## Summary No summary available. ## Bill overview: provisions PRIA read - Doula coverage expands in maternity plans: benefit, medium. 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… - Health plans must cover hormone therapy: benefit, medium. 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 re… - Heart screening rules for school athletes: benefit, low. 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… - Independent mental health reviews for foster children: benefit, low. 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 ong… - More support for patients giving birth: benefit, low. 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… - Solo providers gain insurance network protection: benefit, low. 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 practitione… - Limits on race-based rules in medical care: benefit, low. 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 assis… - Stronger oversight of health maintenance plans: benefit, low. 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… - Nevada can oversee some out-of-state policies: mixed, low. 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 pote… ## Sponsors and cosponsors - Sponsor: Dina Neal (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-06-02 | House | Final Passage - Assembly (4th Reprint) | pass | 27 | 15 | | | 2025-05-31 | House | Final Passage - Assembly (3rd Reprint) | pass | 23 | 16 | | | 2025-05-26 | Senate | Final Passage - Senate (2nd Reprint) | pass | 13 | 7 | | ## Actions (32) - 2025-06-03: (No further action taken.) (House) - 2025-06-02: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 27, Nays: 15.) (House) - 2025-06-02: From printer. To reengrossment. Reengrossed. Fourth reprint. (House) - 2025-06-01: Read third time. Amended. (Amend. No. 965.) To printer. (House) - 2025-06-01: Placed on General File. (House) - 2025-06-01: Taken from Chief Clerk's desk. (House) - 2025-05-31: Placed on Chief Clerk's desk. (House) - 2025-05-31: Taken from General File. (House) - 2025-05-31: Action of passage reconsidered. (House) - 2025-05-31: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 23, Nays: 16, Excused: 3.) (House) - 2025-05-30: Taken from General File. Placed on General File for next legislative day. (House) - 2025-05-30: From printer. To reengrossment. Reengrossed. Third reprint. (House) - 2025-05-29: Read second time. Amended. (Amend. No. 904.) To printer. (House) - 2025-05-29: Placed on Second Reading File. (House) - 2025-05-29: From committee: Amend, and do pass as amended. (House) - 2025-05-27: Read first time. Referred to Committee on Health and Human Services. To committee. (House) - 2025-05-27: In Assembly. (House) - 2025-05-27: From printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly. (Senate) - 2025-05-26: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 13, Nays: 7, Excused: 1.) To printer. (Senate) - 2025-05-26: Reprinting dispensed with. (Senate) - 2025-05-26: Read third time. Amended. (Amend. No. 787.) (Senate) - 2025-05-26: Placed on General File. (Senate) - 2025-05-26: From committee: Amend, and do pass as amended. (Senate) - 2025-04-25: From printer. To engrossment. Engrossed. First reprint. To committee. (Senate) - 2025-04-22: Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer. (Senate) - 2025-04-22: Notice of eligibility for exemption. (Senate) - 2025-04-21: Reprinting dispensed with. (Senate) - 2025-04-21: Read second time. Amended. (Amend. No. 460.) (Senate) - 2025-04-21: Placed on Second Reading File. (Senate) - 2025-04-21: From committee: Amend, and do pass as amended. (Senate) - 2025-02-07: From printer. To committee. (Senate) - 2025-02-06: Read first time. Referred to Committee on Health and Human Services. To printer. (Senate) ## Bill text - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB192.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB192_R1.pdf) - Reprint 2: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB192_R2.pdf) - Reprint 3: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB192_R3.pdf) - Reprint 4: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB192.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) - SB185: AN ACT relating to health care; requiring reimbursement under Medicaid to family members who provide personal care services to certain recipients of Medicaid;… (signed) ## Sources - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB192.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB192_R1.pdf) - [Reprint 2 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB192_R2.pdf) - [Reprint 3 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB192_R3.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) - [SB185: AN ACT relating to health care; requiring reimbursement under Medicaid to famil…](https://policyrisk.com/state-bill/NV-SB185-83rd2025) - [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-SB192-83rd2025 (as of 2026-11-01).