NevadaSB26283rd Regular Session (2025)SenateWALLET

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: DanieleSpeaker Pro Tempore Monroe-Moreno (Democratic), Elaine H. Marzola (Democratic), HowardMajority Whip Watts (Democratic), Tracy Brown-May (Democratic), Venicia Considine (Democratic), FabianDeputy Majority Whip Doñate (Democratic), Julie Pazina (Democratic), MarilynPresident pro Tempore Dondero Loop (Democratic), Nicole J.Majority Leader Cannizzaro (Democratic), Rochelle T. Nguyen (Democratic)

Signed by Governor

BDR 18-120

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

DHHS runs and expands residency grants

Beginning July 1, 2025, Nevada’s health department runs the graduate medical education grants and the state account. The program gives competitive grants to create, expand, or keep ACGME‑approved residencies and fellowships, including slots above Medicare caps. It can fund start‑up and recruitment costs like relocation, salary supplements, and training. DHHS must use a fair, public scoring rubric built by outside experts and take advice from a new Advisory Council of medical schools, physicians, hospitals, and state reps. Grants are prioritized to keep programs when federal money ends, to match federal or private funds, and to support telehealth, rural rotations, underserved placements, and shortage specialties. Each year by October 1, DHHS reports on awards and workforce needs. DHHS also explores using federal Medicaid matching funds for training, focusing on shortage areas without replacing current funding.

New state money for residencies

The state provides $4.5 million for fiscal year 2025–2026 and $4.5 million for fiscal year 2026–2027 to the residency grant account. DHHS uses this money to award competitive grants under the program.

Residency cuts need state approval

Beginning July 1, 2025, any institution that gets these state grants cannot reduce or end a residency or fellowship without DHHS approval. The request must show current and future patient need, explain why the cut is needed, and list steps to lessen harm, like moving resources to higher‑need areas. DHHS approves only if patient need has dropped and provider access in Nevada will not suffer. Violations can lead to suspending or revoking grants, or blocking future grants.

Sponsors & Cosponsors

Sponsors

  • DanieleSpeaker Pro Tempore Monroe-Moreno

    Democratic • House

  • Elaine H. Marzola

    Democratic • House

  • HowardMajority Whip Watts

    Democratic • House

  • Tracy Brown-May

    Democratic • House

  • Venicia Considine

    Democratic • House

  • FabianDeputy Majority Whip Doñate

    Democratic • Senate

  • Julie Pazina

    Democratic • Senate

  • MarilynPresident pro Tempore Dondero Loop

    Democratic • Senate

  • Nicole J.Majority Leader 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

  • EricaAssistant Majority Floor Leader 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.Assistant Majority Whip Anderson

    Democratic • House

  • Rebecca Edgeworth

    Republican • House

  • Reuben D'Silva

    Democratic • House

  • SandraMajority Floor Leader Jauregui

    Democratic • House

  • Selena La Rue Hatch

    Democratic • House

  • Selena Torres-Fossett

    Democratic • House

  • Shea M. Backus

    Democratic • House

  • SteveSpeaker Yeager

    Democratic • House

  • Tanya P. Flanagan

    Democratic • House

  • Venise Karris

    Democratic • House

  • Dina Neal

    Democratic • Senate

  • Edgar Flores

    Democratic • Senate

  • James Ohrenschall

    Democratic • Senate

  • MelanieChief Majority Whip Scheible

    Democratic • Senate

  • Michelee "Shelly" Cruz-Crawford

    Democratic • Senate

  • RobertaAssistant Majority Leader Lange

    Democratic • Senate

  • SkipDeputy Majority Whip 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

Actions Timeline

  1. Chapter 500.

    6/11/2025legislature
  2. Approved by the Governor.

    6/10/2025legislature
  3. Enrolled and delivered to Governor.

    6/6/2025legislature
  4. To enrollment.

    6/4/2025Senate
  5. Assembly Amendment No. 905 concurred in.

    6/2/2025Senate
  6. In Senate.

    6/2/2025Senate
  7. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To Senate.

    6/2/2025House
  8. Taken from General File. Placed on General File for next legislative day.

    6/1/2025House
  9. Placed on General File.

    6/1/2025House
  10. From committee: Do pass, as amended.

    6/1/2025House
  11. To committee.

    5/30/2025House
  12. From printer. To reengrossment. Reengrossed. Second reprint.

    5/30/2025House
  13. To printer.

    5/29/2025House
  14. Rereferred to Committee on Ways and Means.

    5/29/2025House
  15. Read second time. Amended. (Amend. No. 905.)

    5/29/2025House
  16. Placed on Second Reading File.

    5/29/2025House
  17. From committee: Amend, and do pass as amended.

    5/29/2025House
  18. Read first time. Referred to Committee on Health and Human Services. To committee.

    5/22/2025House
  19. In Assembly.

    5/22/2025House
  20. Read third time. Passed, as amended. Title approved. (Yeas: 21, Nays: None.) To Assembly.

    5/21/2025Senate
  21. Taken from General File. Placed on General File for next legislative day.

    5/20/2025Senate
  22. From committee: Do pass.

    5/19/2025Senate
  23. From printer. To engrossment. Engrossed. First reprint. To committee.

    4/15/2025Senate
  24. Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.

    4/14/2025Senate
  25. Read second time. Amended. (Amend. No. 36.)

    4/14/2025Senate

Bill Text

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