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
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Tribal clinics can approve Medicaid quickly
Beginning January 1, 2026, federally recognized tribes in Nevada can decide if a person is presumptively eligible for Medicaid, as federal law permits. The Department of Health and Human Services applies for any needed federal waiver or State Plan change and runs this the same as other Medicaid rules. The Department provides training and technical help to tribes that make these decisions. The Director and department divisions oversee this program.
New Tribal Health Council and funding
Beginning July 1, 2025, the state creates the Tribal Health Authority Council to advise the Governor and health agencies on American Indian health. Voting members are the directors (or designees) of tribal health facilities; an Indian Health Service representative and state liaisons serve as nonvoting members, and members are unpaid; state employees get time to serve without using leave. The Council meets at least quarterly, allows remote attendance, elects officers each year, assesses health needs, and adopts and updates a plan to increase access and remove barriers. The Department may appoint a Coordinator and must provide staff, space, equipment, and supplies. An Account for Tribal Health in the State General Fund supports this work; money does not revert at year‑end, earns interest to the Account, and can include gifts, grants, and federal funds. The Council can request up to two draft bills each regular session (due by September 1 and prefiled by the third Wednesday in November) under the same rules as other nonlegislative requesters. During the 2025–2026 interim, the DHHS Director works with the Council on a plan to reinvest the 100% federal Medicaid match for services through Indian Health Service facilities, with a written report due by June 30, 2026.
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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