NevadaSB25783rd Regular Session (2025)SenateWALLET

AN ACT relating to autism; revising requirements governing the statewide standard for measuring outcomes and assessing and evaluating certain persons with autism spectrum disorders; revising requirements governing early intervention services for persons with autism spectrum disorders; requiring an insurer to accept as dispositive certain diagnoses of persons with autism spectrum disorders for purposes related to required coverage for the diagnosis and treatment of such disorders; requiring insurers to cover such diagnosis and treatment provided by any provider of health care acting within his or her scope of practice; and providing other matters properly relating thereto.

Sponsored By: Selena Torres-Fossett (Democratic), James Ohrenschall (Democratic), LisaMinority Whip Krasner (Republican), MarilynPresident pro Tempore Dondero Loop (Democratic), Michelee "Shelly" Cruz-Crawford (Democratic)

Signed by Governor

BDR 38-106

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 4 benefits, 0 costs, 1 mixed.

Up to $72,000/year for ABA therapy

Health plans must cover applied behavior analysis (ABA) up to $72,000 a year (actuarial equivalent). Copays, deductibles, and coinsurance apply the same as other medical care. This cap may limit coverage for very high-use cases. In HMO and managed care plans, licensed providers can prescribe and give treatments within their scope, and plans may review the treatment plan. New or renewed managed care documents on or after January 1, 2026 must show this coverage. Most rules start January 1, 2026; agencies may prepare now.

Insurers accept state-standard autism diagnoses and care

Insurers must accept an autism diagnosis that follows the statewide standard. This applies for children under 18, or until age 22 if the child is in high school. Any licensed health provider may prescribe and provide treatments in a treatment plan if it is within their scope. Insurers may ask to review the treatment plan. Most rules start January 1, 2026; agencies may prepare now.

Local government plans must cover autism care

Self-insured local government health plans must cover autism screening, diagnosis, and treatment. This applies to people under 18, and up to age 22 if enrolled in high school. Plans must accept a diagnosis that follows the state’s assessment standard. Covered treatments must be in a treatment plan; the plan sponsor may review it. Any plan delivered or renewed on or after January 1, 2026 is treated as including this coverage, and conflicting language is void.

Statewide autism assessments with provider observation

The state adopts one standard to assess autism through age 21. A qualified health provider must directly observe and may complete the assessment when it is within their license. The standard is used at intake and later if autism is suspected. Parents or guardians get the results. The state issues a yearly summary that does not name individuals. The law clarifies who counts as a health care provider. Most rules start January 1, 2026; agencies may prepare now.

Stronger early autism screening and staff training

Early intervention staff must follow the American Academy of Pediatrics screening schedule. They must use the statewide standard when autism is suspected. A qualified health care provider completes baseline and final assessments. Staff receive training to guide families, make referrals, and build service plans. Most rules start January 1, 2026; agencies may prepare now.

Sponsors & Cosponsors

Sponsors

  • Selena Torres-Fossett

    Democratic • House

  • James Ohrenschall

    Democratic • Senate

  • LisaMinority Whip Krasner

    Republican • Senate

  • MarilynPresident pro Tempore Dondero Loop

    Democratic • Senate

  • Michelee "Shelly" Cruz-Crawford

    Democratic • Senate

Cosponsors

  • Edgar Flores

    Democratic • Senate

  • Julie Pazina

    Democratic • Senate

  • Lori Rogich

    Republican • Senate

  • Nicole J.Majority Leader Cannizzaro

    Democratic • Senate

  • Rochelle T. Nguyen

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 60 • No: 0

House vote 5/31/2025

Final Passage - Assembly (As Introduced)

Yes: 39 • No: 0

Senate vote 5/22/2025

Final Passage - Senate (As Introduced)

Yes: 21 • No: 0

Actions Timeline

  1. Chapter 387.

    6/6/2025legislature
  2. Approved by the Governor.

    6/6/2025legislature
  3. Enrolled and delivered to Governor.

    6/4/2025legislature
  4. To enrollment.

    6/2/2025Senate
  5. In Senate.

    6/1/2025Senate
  6. Read third time. Passed. Title approved. (Yeas: 39, Nays: None, Excused: 3.) To Senate.

    5/31/2025House
  7. Read second time.

    5/30/2025House
  8. Placed on Second Reading File.

    5/30/2025House
  9. From committee: Do pass.

    5/30/2025House
  10. Read first time. Referred to Committee on Health and Human Services. To committee.

    5/23/2025House
  11. In Assembly.

    5/23/2025House
  12. Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.

    5/22/2025Senate
  13. Placed on General File.

    5/22/2025Senate
  14. From committee: Do pass.

    5/22/2025Senate
  15. Taken from General File. Re-referred to Committee on Finance. Exemption effective. To committee.

    4/14/2025Senate
  16. Read second time.

    4/14/2025Senate
  17. Notice of eligibility for exemption.

    4/14/2025Senate
  18. Placed on Second Reading File.

    4/14/2025Senate
  19. From committee: Do pass.

    4/14/2025Senate
  20. From printer. To committee.

    2/28/2025Senate
  21. Read first time. Referred to Committee on Health and Human Services. To printer.

    2/27/2025Senate

Bill Text

  • As Enrolled

  • As Introduced

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