All Roll Calls
Yes: 59 • No: 0
NevadaSB31283rd Regular Session (2025)SenateWALLET
AN ACT relating to health care; authorizing Indian tribes to determine if a person is presumptively eligible for Medicaid; creating the Tribal Health Authority Council; prescribing the procedure governing the operations of the Council; authorizing the appointment of the Coordinator of the Council; prescribing the duties of the Council; creating the Account for Tribal Health; and providing other matters properly relating thereto.
Sponsored By: Senate Committee on Health and Human Services
Signed by Governor
BDR 38-347
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 4 benefits, 0 costs, 1 mixed.
Faster Medicaid start at tribal clinics
Beginning January 1, 2026, federally recognized tribes in Nevada may decide if a person is presumptively eligible for Medicaid, as federal law allows. This decision gives temporary Medicaid coverage while the full review is finished. The Department of Health and Human Services must seek any needed federal approvals. The Department also provides training, materials, and technical help to tribal staff who make these decisions.
Plan to reinvest tribal Medicaid dollars
Starting July 1, 2025, the Health Department and the Tribal Health Authority Council must design a plan to reinvest the 100% federal Medicaid match for care through Indian Health Service facilities. The plan focuses on health and public‑health services for American Indians. By June 30, 2026, the Director must file a report with any bill ideas and present it to the Legislature’s interim health committee.
State human services plan and leadership
Beginning January 1, 2026, the Health and Human Services Director oversees the listed health and human‑services programs, including tribal presumptive eligibility. The Director must adopt and update a statewide human‑services master plan every two years and submit it at each regular session. The Director may appoint and remove subordinate officers and employees as allowed by law.
Tribal Health Authority Council starts up
Beginning July 1, 2025, Nevada creates the Tribal Health Authority Council to advise the Governor and Health Department on American Indian health. Voting members are the directors or designees of tribe‑run health facilities that choose to join. Nonvoting members include an Indian Health Service representative and state agency liaisons. The Council meets at least quarterly and may meet remotely. The Department may appoint a Coordinator and must provide staff, space, and supplies. A new Tribal Health Account funds the Council’s duties, and the Council adopts and updates a plan to improve access and remove barriers.
Council can request up to two bills
Beginning July 1, 2025, the Council may ask for up to two bills within its scope. Requests are due to the Legislative Counsel by September 1 before a regular session and must be prefiled by the third Wednesday in November. The Legislative Counsel must refuse requests that exceed the limit, fall outside the requester’s subject area, change topics after filing, or improperly combine subjects.
Sponsors & Cosponsors
Sponsor
Senate Committee on Health and Human Services
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 5/31/2025
Final Passage - Assembly (2nd Reprint)
Yes: 39 • No: 0
Senate vote • 5/26/2025
Final Passage - Senate (2nd Reprint)
Yes: 20 • No: 0
Actions Timeline
Chapter 384.
6/6/2025legislatureApproved by the Governor.
6/6/2025legislatureEnrolled and delivered to Governor.
6/4/2025legislatureTo enrollment.
6/2/2025SenateIn Senate.
6/1/2025SenateRead third time. Passed. Title approved. (Yeas: 39, Nays: None, Excused: 3.) To Senate.
5/31/2025HouseTaken from General File. Placed on General File for next legislative day.
5/30/2025HouseTaken from General File. Placed on General File for next legislative day.
5/29/2025HouseRead second time.
5/28/2025HousePlaced on Second Reading File.
5/28/2025HouseFrom committee: Do pass.
5/28/2025HouseRead first time. Referred to Committee on Health and Human Services. To committee.
5/26/2025HouseIn Assembly.
5/26/2025HouseFrom printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly.
5/26/2025SenateRead third time. Passed, as amended. Title approved, as amended. (Yeas: 20, Nays: None, Excused: 1.) To printer.
5/26/2025SenateReprinting dispensed with.
5/26/2025SenateRead third time. Amended. (Amend. No. 755.)
5/26/2025SenatePlaced on General File.
5/26/2025SenateFrom committee: Amend, and do pass as amended.
5/26/2025SenateFrom printer. To engrossment. Engrossed. First reprint. To committee.
4/24/2025SenateTaken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.
4/21/2025SenateRead second time. Amended. (Amend. No. 220.)
4/21/2025SenatePlaced on Second Reading File.
4/21/2025SenateFrom committee: Amend, and do pass as amended.
4/21/2025SenateNotice of eligibility for exemption.
4/1/2025Senate
Bill Text
As Enrolled
As Introduced
Reprint 1
Reprint 2
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