NevadaSB23483rd Regular Session (2025)SenateWALLET

AN ACT relating to Medicaid; requiring Medicaid to provide certain limited coverage to certain persons who would otherwise be ineligible for Medicaid because of their immigration status; prescribing the scope and limitations of such coverage; requiring the Department of Health and Human Services to seek an increase to rates of reimbursement under Medicaid for services relating to certain childhood diseases; and providing other matters properly relating thereto.

Sponsored By: Cecelia González (Democratic), Cinthia Zermeño Moore (Democratic), Erica P. Roth (Democratic), Selena Torres-Fossett (Democratic), Edgar Flores (Democratic), Fabian Doñate (Democratic), James Ohrenschall (Democratic)

Failed

BDR 38-40

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Limited Medicaid coverage for young Nevada immigrants

Beginning January 1, 2026, Nevada Medicaid provides limited coverage for residents under 21 excluded solely because of immigration status. Coverage depends on available federal matching funds, and the Department must seek needed federal approvals. Covered care includes emergency transport, emergency-room or similar care, and directly related inpatient care immediately following emergency admission. Follow-up services are covered only when included in the payment for a covered service. Additional care directly related to the emergency condition requires prior Department approval and must be medically necessary and appropriate. This includes post-discharge skilled nursing care needed to prevent the condition from rapidly becoming an emergency, and dialysis for irreversible kidney disease. Bone marrow transplants require cancer, current cancer treatment, and transplant candidacy. Kidney transplants require end-stage kidney disease, dialysis, and transplant candidacy. Covered cancer treatment includes medically necessary surgery, chemotherapy, radiation, targeted therapy, and immunotherapy to treat cancer or prevent recurrence. This is not full Medicaid coverage: unlisted services remain excluded. Exclusions include elective surgery, preventive care, rehabilitation, personal care, physical or speech or occupational therapy, case management, medical equipment, prosthetics, orthotics, dental care, hospice, substance-use treatment, routine prenatal care, and continuing care related to dependent facilities. Prescription drugs are excluded unless administered as part of a covered service. Other organ or stem cell transplants are also excluded.

Nevada seeks higher childhood care payments

The law requires Nevada's health director to identify clinic services most commonly used by Medicaid patients for childhood cancer and rare childhood diseases. By January 1, 2026, the director must submit a Medicaid State Plan amendment requesting higher payments for each identified service. The request must seek increases of at least 2%, or as close to that amount as the federal health secretary approves. It must use rate-setting methods accepted by the secretary. The law requires the request, but does not guarantee federal approval, higher clinic payments, or direct payments to families.

Sponsors & Cosponsors

Sponsors

  • Cecelia González

    Democratic • House

  • Cinthia Zermeño Moore

    Democratic • House

  • Erica P. Roth

    Democratic • House

  • Selena Torres-Fossett

    Democratic • House

  • Edgar Flores

    Democratic • Senate

  • Fabian Doñate

    Democratic • Senate

  • James Ohrenschall

    Democratic • Senate

Cosponsors

  • Angela D. Taylor

    Democratic • Senate

  • Duy Nguyen

    Democratic • House

  • Natha C. Anderson

    Democratic • House

  • Reuben D'Silva

    Democratic • House

Roll Call Votes

No roll call votes available for this bill.

Bill Text

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