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), FabianDeputy Majority Whip Doñate (Democratic)
Signed by Governor
BDR 38-763
Your PRIA Score
Score Hidden
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
4 provisions identified: 3 benefits, 0 costs, 1 mixed.
More help to age at home
The state can use staff or contractors to deliver home and community services so frail older adults can stay at home. Contracts must name the service, set the price and payment method, and list how results will be judged. The Community Advocate must help people age 60+ who live in the community, including linking them to PACE services. The state may run pilot projects to test new home‑care models. The law also classifies PACE as a home care program. These changes are fully effective January 1, 2026.
Nevada launches PACE elder care program
The law creates a Program of All‑Inclusive Care for the Elderly (PACE) run by the state health department. The program follows federal PACE rules and the state must seek any needed Medicaid waivers and adopt regulations. When the state hires PACE contractors, each contract must list the service, the capitation rate, how payment is made, and how the service will be judged. The department can also apply for and spend federal or private grants for PACE. Oversight moves to the department’s director, and a prior statute is repealed as part of this shift. Prep work can start now. Services under these rules are fully effective January 1, 2026.
Spousal asset splits and Medicaid rules
A written agreement that splits a couple’s income and assets counts for eligibility only in narrow cases. It counts if one spouse is institutionalized and the other is a community spouse, or if the split lets one spouse qualify for services under the state’s home‑care laws or the new PACE program. The Division of Welfare and Supportive Services does not have to follow these agreements when deciding Medicaid. These rules are fully effective January 1, 2026.
Startup funds to build PACE
The state provides startup money to launch PACE. It appropriates $293,055 in FY 2025–2026 and $184,057 in FY 2026–2027 from the State General Fund. It also authorizes $323,855 and $91,953 in non‑State‑General‑Fund spending for those years. Money must not be committed after June 30 each year and must revert if unspent after September 18, 2026 and September 17, 2027. This funding starts July 1, 2025.
Sponsors & Cosponsors
Sponsors
Angela D. Taylor
Democratic • Senate
Dina Neal
Democratic • Senate
FabianDeputy Majority Whip Doñate
Democratic • Senate
Cosponsors
JeffAssistant Minority Leader Stone
Republican • Senate
SkipDeputy Majority Whip 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
Related Bills
SB119 — AN ACT relating to economic development; requiring certain reporting relating to the NV Grow Program; requiring the Division of Small Business and Entrepreneurship Development of the College of Southern Nevada to develop, create and oversee the Program; revising certain qualifications for a business to participate in the Program; making an appropriation; and providing other matters properly relating thereto.
AB12 — AN ACT relating to unemployment compensation; revising requirements for obtaining judicial review of a decision of the Board of Review concerning a claim for unemployment benefits; and providing other matters properly relating thereto.
SB460 — AN ACT relating to education; revising provisions governing plans to improve academic achievement; providing for the waiver of certain reporting requirements; revising provisions governing the annual report of accountability for a school district; revising the duties of the Commission on Innovation and Excellence in Education; providing for the impaneling of a Public Education Oversight Board; revising provisions governing boards of trustees of certain school districts; establishing certain measures for the designation of focus and priority school districts, sponsors of charter schools and public schools; revising provisions governing the Commission on School Funding; revising provisions governing the Early Childhood Literacy and Readiness Account; revising provisions governing prekindergarten programs; revising provisions governing assessments used to assess the literacy of certain pupils; revising provisions governing membership of the State Public Charter School Authority; revising provisions governing the formation of charter schools, the termination and amendment of charter contracts and the employment of teachers by charter schools; revising provisions governing the Nevada Educational Choice Scholarship Program; revising certain provisions governing instruction in English language arts; creating the Commission on Recruitment and Retention; revising provisions relating to the Commission on Professional Standards in Education; revising provisions governing background investigations of applicants for certain licenses; establishing requirements governing the hiring of a superintendent of schools; revising provisions governing certain evaluations; requiring the creation of a differential pay scale for certain teachers and administrators; creating the Education Service Center; establishing certain requirements for the Board of Regents of the University of Nevada; creating certain accounts and programs concerning teacher apprenticeships; making appropriations; and providing other matters properly relating thereto.
SB81 — AN ACT relating to education; requiring the Department of Education to create and conduct certain surveys of public school employees; revising provisions governing the reimbursement of certain hospitals or other facilities that provide educational services; revising terminology related to services provided to certain students; revising various reporting requirements relating to education; revising provisions governing the authority of the State Board of Education; revising provisions governing the ratios of pupils to licensed teachers; eliminating certain audits of empowerment schools; revising provisions governing the licensure of administrators; repealing provisions governing the Nevada Teacher Advancement Scholarship Program and the Incentivizing Pathways to Teaching Grant Program; revising provisions governing certain scholarship and grant programs for students in education and related fields of study; requiring the Department to create a program of block grants for such scholarship and grant programs; eliminating provisions requiring the Department to recommend that a minimum amount be spent by public schools on textbooks and other instructional supplies; and providing other matters properly relating thereto.
SB494 — AN ACT relating to state government; creating the Nevada Health Authority; creating certain divisions and offices within the Authority; providing for the appointment of officers and the employment of staff for the Authority; establishing requirements governing procurement by the Authority; creating the Nevada Health Authority Gift Fund; prescribing the duties of the Authority and its divisions and officers; transferring to the Authority the responsibility for operating various programs and administering various provisions; revising the name of certain agencies; revising certain terminology; eliminating the Division of Health Care Financing and Policy of the Department of Health and Human Services; revising provisions governing the operation of the Public Employees' Benefits Program and Medicaid; requiring certain reporting on the costs of health insurance for retired state employees; authorizing the Authority to require the reporting of certain information on the cost of certain prescription drugs; revising the membership and duties of the Board of Directors of the Silver State Health Insurance Exchange; providing for a study of opportunities for the Board of the Public Employees' Benefits Program to directly contract with certain providers of health care; providing for a study of and the development of a plan to transfer certain additional functions to the Authority; and providing other matters properly relating thereto.
SB502 — AN ACT relating to projects of capital improvement; authorizing certain expenditures for certain projects of the Executive and Legislative Departments of the State Government; levying a property tax to support the Consolidated Bond Interest and Redemption Fund; making appropriations; and providing other matters properly relating thereto.