All Roll Calls
Yes: 63 • No: 0
NevadaSB20783rd Regular Session (2025)SenateWALLET
AN ACT relating to health care; transferring the authority to establish and administer a program of all-inclusive care for the elderly from the Aging and Disability Services Division of the Department of Health and Human Services to the Department; requiring the Department to establish such a program; requiring the Community Advocate within the Division to provide certain services relating to the program; making an appropriation; and providing other matters properly relating thereto.
Sponsored By: Angela D. Taylor (Democratic), Dina Neal (Democratic), Fabian Doñate (Democratic)
Signed by Governor
BDR 38-763
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 4 benefits, 0 costs, 1 mixed.
State launches PACE elder care
The Department of Health and Human Services establishes and runs a Program of All‑Inclusive Care for the Elderly (PACE). The program follows federal PACE rules and approvals. The Department may contract with public or private providers and will adopt regulations. PACE is treated as a home care program in state law, and the Director oversees it through the Department’s divisions. A prior section tied to the old framework is repealed.
New rules for spousal asset splits
A written agreement to split community income and property only counts in certain cases. It counts when one spouse is in a facility and the other is a community spouse. It also counts when the split lets a spouse qualify for home‑ and community‑based services or the PACE program. You must show the split allows that qualification.
Clearer home-care contracts and pilots
The Aging and Disability Services Division can use its staff or outside groups to provide home and community care for frail older people. Each contract must list the service, the price per service and payment method, and how the work will be judged. The Division may also run pilot projects to test new ways to keep people at home.
Help finding services for adults 60+
The Community Advocate helps people age 60 or older who live outside long‑term care facilities. The Advocate coordinates local services, including those offered through home‑care programs and the new PACE program. The office also shares information and speaks up on aging issues.
Funding to start PACE program
The state provides $293,055 for FY 2025–2026 and $184,057 for FY 2026–2027 to carry out the act. It also authorizes $323,855 in non‑state funds for FY 2025–2026 and $91,953 for FY 2026–2027. Unspent money cannot be committed after June 30 each year. Any remaining funds must not be spent after September 18, 2026 and September 17, 2027, and then revert to the State General Fund.
Sponsors & Cosponsors
Sponsors
Angela D. Taylor
Democratic • Senate
Dina Neal
Democratic • Senate
Fabian Doñate
Democratic • Senate
Cosponsors
Jeff Stone
Republican • Senate
Skip Daly
Democratic • Senate
Roll Call Votes
House vote • 6/2/2025
Final Passage - Assembly (2nd Reprint)
Yes: 42 • No: 0
Senate vote • 5/30/2025
Final Passage - Senate (1st Reprint)
Yes: 21 • No: 0
Actions Timeline
Chapter 497.
6/11/2025legislatureApproved by the Governor.
6/10/2025legislatureEnrolled and delivered to Governor.
6/6/2025legislatureTo enrollment.
6/4/2025SenateIn Senate.
6/3/2025SenateRead third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate.
6/2/2025HouseRead second time.
6/1/2025HousePlaced on Second Reading File.
6/1/2025HouseFrom committee: Do pass.
6/1/2025HouseRead first time. Referred to Committee on Ways and Means. To committee.
5/31/2025HouseIn Assembly.
5/31/2025HouseFrom printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly.
5/31/2025SenateRead third time. Passed, as amended. Title approved, as amended. (Yeas: 21, Nays: None.) To printer.
5/30/2025SenateReprinting dispensed with.
5/30/2025SenateRead third time. Amended. (Amend. No. 849.)
5/30/2025SenatePlaced on General File.
5/30/2025SenateFrom committee: Amend, and do pass as amended.
5/30/2025SenateFrom printer. To engrossment. Engrossed. First reprint. To committee.
4/15/2025SenateTaken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.
4/14/2025SenateRead second time. Amended. (Amend. No. 61.)
4/14/2025SenateNotice of eligibility for exemption.
4/14/2025SenateFrom committee: Amend, and do pass as amended.
4/10/2025SenateFrom printer. To committee.
2/19/2025SenateRead first time. Referred to Committee on Health and Human Services. To printer.
2/18/2025Senate
Bill Text
As Enrolled
As Introduced
Reprint 1
Reprint 2
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