All Roll Calls
Yes: 62 • No: 0
NevadaSB30083rd Regular Session (2025)SenateWALLET
AN ACT relating to Medicaid; requiring Medicaid to cover the administration of certain medication for persons with opioid use disorder and certain mental health services provided at a federally-qualified health center; making an appropriation; and providing other matters properly relating thereto.
Sponsored By: Edgar Flores (Democratic), MarilynPresident pro Tempore Dondero Loop (Democratic), Michelee "Shelly" Cruz-Crawford (Democratic)
Signed by Governor
BDR 38-110
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 3 benefits, 0 costs, 1 mixed.
More Medicaid mental health and addiction care
Starting October 1, 2025, Nevada Medicaid covers more behavioral health care. This includes team‑based models like collaborative care and services at federally qualified health centers by licensed providers or supervised master’s‑level interns. Starting March 1, 2026, Medicaid also pays to give FDA‑approved medicines for opioid use disorder. These changes apply only if federal approval and funding are available, and the state applies for the needed waivers or plan changes. This makes it easier for enrollees to get mental health and addiction treatment and lowers out‑of‑pocket costs.
Medicaid help before release from prison
Beginning March 1, 2026, some incarcerated people can get limited Medicaid services for up to 90 days before release. You must be someone who would be Medicaid‑eligible if not incarcerated, be within 90 days of release, and be under 18; or be pregnant or within 12 weeks postpartum; or have a diagnosis like mental illness, substance use disorder, a chronic disease, an intellectual or developmental disability, traumatic brain injury, or HIV. Covered services include case management, provider consults, lab and radiology tests, prescription drugs (including medication‑assisted treatment), and community health worker services. This applies only if the federal government approves Nevada’s waiver, and the state will coordinate screening with the Department of Corrections.
State funds to expand Medicaid services
Starting July 1, 2025, the state transfers $121,684 for FY 2025–2026 and $382,542 for FY 2026–2027 to Nevada Medicaid to carry out section 1.2. It also allows extra spending not from the General or Highway Funds: $545,735 in FY 2025–2026 and $1,686,686 in FY 2026–2027. The law appropriates General Fund money to carry out section 1.4: $77,943 for FY 2025–2026 and $104,981 for FY 2026–2027, plus authority to spend $179,425 and $240,812 from other sources. Any remaining appropriated money cannot be committed after June 30 each year and must revert by September 18, 2026 (FY 2025–2026) and September 17, 2027 (FY 2026–2027).
Health agency leadership and duties clarified
Beginning March 1, 2026, the Director of Health and Human Services appoints certain division heads with the Governor’s consent and oversees listed health laws, including this act. The Director also may appoint and remove staff. These steps clarify who runs the agency parts that carry out this law. They do not change who qualifies for benefits.
Sponsors & Cosponsors
Sponsors
Edgar Flores
Democratic • Senate
MarilynPresident pro Tempore Dondero Loop
Democratic • Senate
Michelee "Shelly" Cruz-Crawford
Democratic • Senate
Cosponsors
Angela D. Taylor
Democratic • Senate
James Ohrenschall
Democratic • Senate
Julie Pazina
Democratic • Senate
Nicole J.Majority Leader Cannizzaro
Democratic • Senate
SkipDeputy Majority Whip Daly
Democratic • Senate
Roll Call Votes
House vote • 6/2/2025
Final Passage - Assembly (2nd Reprint)
Yes: 42 • No: 0
Senate vote • 5/27/2025
Final Passage - Senate (2nd Reprint)
Yes: 20 • No: 0
Actions Timeline
Chapter 501.
6/11/2025legislatureApproved by the Governor.
6/10/2025legislatureEnrolled and delivered to Governor.
6/6/2025legislatureTo enrollment.
6/4/2025SenateIn Senate.
6/3/2025SenateRead third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate.
6/2/2025HouseTaken from General File. Placed on General File for next legislative day.
6/1/2025HousePlaced on General File.
6/1/2025HouseFrom committee: Do pass.
6/1/2025HouseRereferred to Committee on Ways and Means. To committee.
5/30/2025HouseTaken from General File.
5/30/2025HouseRead second time.
5/30/2025HousePlaced on Second Reading File.
5/30/2025HouseFrom committee: Do pass.
5/30/2025HouseRead first time. Referred to Committee on Health and Human Services. To committee.
5/28/2025HouseIn Assembly.
5/28/2025HouseFrom printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly.
5/28/2025SenateRead third time. Passed, as amended. Title approved. (Yeas: 20, Nays: None, Excused: 1.) To printer.
5/27/2025SenateReprinting dispensed with.
5/27/2025SenateRead third time. Amended. (Amend. No. 760.)
5/27/2025SenatePlaced on General File.
5/27/2025SenateFrom committee: Amend, and do pass as amended.
5/27/2025SenateTo committee.
4/23/2025SenateFrom printer. To engrossment. Engrossed. First reprint.
4/23/2025SenateTaken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.
4/21/2025Senate
Bill Text
As Enrolled
As Introduced
Reprint 1
Reprint 2
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