# Nevada SB268: AN ACT relating to insurance; requiring certain health insurance to include coverage for certain dental services when provided by certain dental hygienists without the supervision of a dentist to the same extent as if provided by a dental hygienist under the supervision of a dentist; revising provisions governing the services that a dental hygienist with a special endorsement to practice public health dental hygiene may provide; and providing other matters properly relating thereto. Nevada SB268, AN ACT relating to insurance; requiring certain health insurance to include coverage for certain dental services when provided by certain dental hygienists without the supervision of a dentist to the same extent as if provided by a dental hygienist under the supervision of a dentist; revising provisions governing the services that a dental hygienist with a special endorsement to practice public health dental hygiene may provide; and providing other matters properly relating thereto., is a 83rd Regular Session (2025) Senate bill sponsored by no sponsor on record; status signed, last action 2025-05-31 (Approved by the Governor. Chapter 188.); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-SB268-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada SB268 - State: Nevada - Session: 83rd Regular Session (2025) - Title: AN ACT relating to insurance; requiring certain health insurance to include coverage for certain dental services when provided by certain dental hygienists without the supervision of a dentist to the same extent as if provided by a dental hygienist under the supervision of a dentist; revising provisions governing the services that a dental hygienist with a special endorsement to practice public health dental hygiene may provide; and providing other matters properly relating thereto. - Status: signed - Chamber: Senate - Introduced: 2025-03-04 - Last action: 2025-05-31, Approved by the Governor. Chapter 188. - Sponsors: no sponsor on record - Cosponsors: 0 - Subjects: BDR 57-329 - Touches household money: yes - Roll calls: 2 (63 yes, 0 no in all) - Economic provisions PRIA read: 7 ## Summary No summary available. ## Bill overview: provisions PRIA read - Equal plan coverage for hygienist services: benefit, medium. Beginning October 1, 2025, Nevada plans must treat certain hygienist care the same as dentist‑supervised care. Individual, group, health benefit, dental, HMO, and managed‑care plans delivered, issued for delivery, or renewed on or after that date must cover these services at the same level. This ap… - Medicaid covers unsupervised hygienist care equally: benefit, medium. Nevada Medicaid pays for covered dental services done by a qualified dental hygienist without a dentist at the same level as if supervised by a dentist, if federal matching funds are available. The health department must seek any needed federal waiver or State Plan change to secure that funding. HM… - More care from endorsed dental hygienists: benefit, medium. A dental hygienist with the Board’s special public‑health endorsement can work without a dentist at Board‑approved sites using an approved protocol. They can do exams, X‑rays, cleanings, sealants, fluoride, remove sutures, place temporary fillings, and apply certain medicines in the mouth. In appro… - Stronger enforcement for HMO dental coverage: benefit, low. Starting October 1, 2025, the Insurance Commissioner can suspend or revoke an HMO’s certificate if its coverage papers or charge schedules break the new hygienist‑coverage rules. This strengthens enforcement to protect enrollees. - Local governments can spend more to comply: cost, low. Local governments can spend extra to carry out this law, and those extra costs are not limited by NRS 354.599. This can raise local expenses or change local budgets. - Nevada can apply rules to some out-of-state policies: mixed, low. The Nevada Insurance Commissioner can require policies issued by Nevada insurers to people in other states to meet Nevada standards, including the hygienist coverage rule, when the other state’s regulator says the policy is not subject to their approval. This gives some out‑of‑state buyers the same… - Self-insured public plans must follow insurer rules: mixed, low. If a state Board runs a self‑insured health plan, it must follow the same insurance rules as licensed insurers for the matters in this law. This aligns protections for people in that plan and can add administrative steps. ## Sponsors and cosponsors - (none) ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-22 | House | Final Passage - Assembly (1st Reprint) | pass | 42 | 0 | | | 2025-04-22 | Senate | Final Passage - Senate (1st Reprint) | pass | 21 | 0 | | ## Actions (19) - 2025-05-31: Approved by the Governor. Chapter 188. (legislature) - 2025-05-27: Enrolled and delivered to Governor. (legislature) - 2025-05-23: To enrollment. (Senate) - 2025-05-22: In Senate. (Senate) - 2025-05-22: Read third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate. (House) - 2025-05-21: Taken from General File. Placed on General File for next legislative day. (House) - 2025-05-20: Read second time. (House) - 2025-05-19: From committee: Do pass. (House) - 2025-04-28: Read first time. Referred to Committee on Commerce and Labor. To committee. (House) - 2025-04-28: In Assembly. (House) - 2025-04-28: To Assembly. (Senate) - 2025-04-25: From printer. To engrossment. Engrossed. First reprint. (Senate) - 2025-04-22: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 21, Nays: None.) To printer. (Senate) - 2025-04-21: Reprinting dispensed with. (Senate) - 2025-04-21: Read second time. Amended. (Amend. No. 189.) (Senate) - 2025-04-21: Placed on Second Reading File. (Senate) - 2025-04-21: From committee: Amend, and do pass as amended. (Senate) - 2025-03-05: From printer. To committee. (Senate) - 2025-03-04: Read first time. Referred to Committee on Commerce and Labor. To printer. (Senate) ## Bill text - As Enrolled: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB268_EN.pdf) - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB268.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB268_R1.pdf) ## Related bills - SB217: AN ACT relating to health care; prohibiting a governmental entity from substantially burdening certain activity relating to assisted reproduction under certain… (vetoed) - AB499: AN ACT relating to elections; requiring, with certain exceptions, a registered voter show photo identification to vote in person; requiring the Department of M… (vetoed) - AB397: AN ACT relating to higher education; revising provisions governing certain waivers of fees provided by the Board of Regents of the University of Nevada; revisi… (vetoed) - AB259: AN ACT relating to health care; prohibiting certain actions related to pricing and reimbursement for certain drugs; creating a cause of action for violating su… (vetoed) - AB188: AN ACT relating to the Public Employees' Benefits Program; requiring the Board of the Public Employees' Benefits Program to report certain information relating… (vetoed) - SB207: 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 Disab… (signed) ## Sources - [As Enrolled (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB268_EN.pdf) - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB268.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB268_R1.pdf) ## Related - [SB217: AN ACT relating to health care; prohibiting a governmental entity from substant…](https://policyrisk.com/state-bill/NV-SB217-83rd2025) - [AB499: AN ACT relating to elections; requiring, with certain exceptions, a registered…](https://policyrisk.com/state-bill/NV-AB499-83rd2025) - [AB397: AN ACT relating to higher education; revising provisions governing certain waiv…](https://policyrisk.com/state-bill/NV-AB397-83rd2025) - [AB259: AN ACT relating to health care; prohibiting certain actions related to pricing…](https://policyrisk.com/state-bill/NV-AB259-83rd2025) - [AB188: AN ACT relating to the Public Employees' Benefits Program; requiring the Board…](https://policyrisk.com/state-bill/NV-AB188-83rd2025) - [SB207: AN ACT relating to health care; transferring the authority to establish and adm…](https://policyrisk.com/state-bill/NV-SB207-83rd2025) - [Nevada bills](https://policyrisk.com/states/nevada/bills) - [Nevada state hub](https://policyrisk.com/states/nevada) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/NV-SB268-83rd2025 (as of 2026-11-01).