NevadaSB26283rd Regular Session (2025)Senate

AN ACT relating to health care; prohibiting certain institutions from eliminating or reducing the size of a program for residency training and postdoctoral fellowships without the approval of the Department of Health and Human Services; transferring the administration of the Graduate Medical Education Grant Program and the Account for the Program from the Office of Science, Innovation and Technology in the Office of the Governor to the Department; expanding the purposes for which institutions that provide programs for residency training and postdoctoral fellowships in this State may receive grants under the Program; establishing the criteria for prioritizing the awarding of such grants; requiring the Department to explore ways to use federal financial participation in Medicaid to support graduate medical education; making an appropriation to the Account for the Program; and providing other matters properly relating thereto.

Sponsored By: Daniele Monroe-Moreno (Democratic), Elaine H. Marzola (Democratic), Howard Watts (Democratic), Tracy Brown-May (Democratic), Venicia Considine (Democratic), Fabian Doñate (Democratic), Julie Pazina (Democratic), Marilyn Dondero Loop (Democratic), Nicole J. Cannizzaro (Democratic), Rochelle T. Nguyen (Democratic)

Signed by Governor

BDR 18-120

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Bill Overview

Analyzed Economic Effects

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

Health Department now runs residency grants

Beginning July 1, 2025, the Department of Health and Human Services runs the residency grant program and its fund. The fund can take gifts, donations, bequests, grants, loans, and interest, and it pays only for competitive grants and for program administration. The state provides $4.5 million for FY 2025–26 and $4.5 million for FY 2026–27. Each year by October 1, DHHS reports program results and recommendations to the Governor and Legislature. Existing rules, contracts, and actions continue under the new administrator, and the law exempts these reporting duties from a general reporting restriction.

Medicaid support for training, with guardrails

Beginning July 1, 2025, DHHS and the Advisory Council must explore using federal Medicaid funds to support Nevada residency and fellowship programs. If federal dollars are found, DHHS may prioritize programs in areas or specialties with the most severe provider shortages. Starting July 1, 2025, DHHS cannot use those Medicaid funds to replace current residency funding. Any federal money must add to, not take the place of, existing support.

More grants to expand residencies

The law funds competitive state grants to create, grow, and keep residency and fellowship programs approved by the Accreditation Council for Graduate Medical Education (ACGME). Grants can also support programs that train more residents than Medicare pays for. DHHS may give small grants to build startup operations and to recruit key staff, including moving costs, salary boosts, and training. An expert, conflict‑free committee sets a fair scoring rubric, and an Advisory Council reviews applications. Priority goes to programs that keep slots when federal money ends, bring in other funds, use telehealth or rural rotations, offer housing or transport help, work with rural providers, and target the biggest shortages.

Residency slots protected from cuts

Institutions that get a state residency grant cannot cut or shrink that funded program without DHHS approval. They must apply on DHHS’s form, analyze current and future local patient needs, explain the change, and describe steps to lessen harm. DHHS approves only if patient need has dropped and care access is not likely to suffer. If a school or hospital violates this rule, DHHS can suspend or revoke grants or block them from future awards.

Sponsors & Cosponsors

Sponsors

  • Daniele Monroe-Moreno

    Democratic • House

  • Elaine H. Marzola

    Democratic • House

  • Howard Watts

    Democratic • House

  • Tracy Brown-May

    Democratic • House

  • Venicia Considine

    Democratic • House

  • Fabian Doñate

    Democratic • Senate

  • Julie Pazina

    Democratic • Senate

  • Marilyn Dondero Loop

    Democratic • Senate

  • Nicole J. Cannizzaro

    Democratic • Senate

  • Rochelle T. Nguyen

    Democratic • Senate

Cosponsors

  • Angela D. Taylor

    Democratic • Senate

  • Cecelia González

    Democratic • House

  • Cinthia Zermeño Moore

    Democratic • House

  • David Orentlicher

    Democratic • House

  • Duy Nguyen

    Democratic • House

  • Erica Mosca

    Democratic • House

  • Erica P. Roth

    Democratic • House

  • Hanadi Nadeem

    Democratic • House

  • Heather Goulding

    Democratic • House

  • Joe Dalia

    Democratic • House

  • Jovan A. Jackson

    Democratic • House

  • Linda F. Hunt

    Democratic • House

  • Natha C. Anderson

    Democratic • House

  • Rebecca Edgeworth

    Republican • House

  • Reuben D'Silva

    Democratic • House

  • Sandra Jauregui

    Democratic • House

  • Selena La Rue Hatch

    Democratic • House

  • Selena Torres-Fossett

    Democratic • House

  • Shea M. Backus

    Democratic • House

  • Steve Yeager

    Democratic • House

  • Tanya P. Flanagan

    Democratic • House

  • Venise Karris

    Democratic • House

  • Dina Neal

    Democratic • Senate

  • Edgar Flores

    Democratic • Senate

  • James Ohrenschall

    Democratic • Senate

  • Melanie Scheible

    Democratic • Senate

  • Michelee "Shelly" Cruz-Crawford

    Democratic • Senate

  • Roberta Lange

    Democratic • Senate

  • Skip Daly

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 63 • No: 0

House vote • 6/2/2025

Final Passage - Assembly (2nd Reprint)

Yes: 42 • No: 0

Senate vote • 5/21/2025

Final Passage - Senate (1st Reprint)

Yes: 21 • No: 0

Bill Text

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