# Nevada SB337: AN ACT relating to health care; requiring certain health care facilities and certain providers of health care to provide patients with a form for a non-opioid directive and offer patients treatments that do not utilize an opioid under certain circumstances; requiring the Division of Public and Behavioral Health of the Department of Health and Human Services to create a form for a non-opioid directive; requiring the Administrator of the Division to appoint an advisory board to monitor compliance with laws and regulations relating to the non-opioid directive; requiring certain policies of health insurance to include coverage for at least one drug that is an alternative to opioids; requiring certain insurers to provide the form for a non-opioid directive to new insureds; revising the manner by which money in the Fund for a Resilient Nevada allocates money to projects and grants; and providing other matters properly relating thereto. Nevada SB337, AN ACT relating to health care; requiring certain health care facilities and certain providers of health care to provide patients with a form for a non-opioid directive and offer patients treatments that do not utilize an opioid under certain circumstances; requiring the Division of Public and Behavioral Health of the Department of Health and Human Services to create a form for a non-opioid directive; requiring the Administrator of the Division to appoint an advisory board to monitor compliance with laws and regulations relating to the non-opioid directive; requiring certain policies of health insurance to include coverage for at least one drug that is an alternative to opioids; requiring certain insurers to provide the form for a non-opioid directive to new insureds; revising the manner by which money in the Fund for a Resilient Nevada allocates money to projects and grants; and providing other matters properly relating thereto., is a 83rd Regular Session (2025) Senate bill sponsored by Roberta Lange (Democratic); status failed, last action 2025-06-03 ((No further action taken.)); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-SB337-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada SB337 - State: Nevada - Session: 83rd Regular Session (2025) - Title: AN ACT relating to health care; requiring certain health care facilities and certain providers of health care to provide patients with a form for a non-opioid directive and offer patients treatments that do not utilize an opioid under certain circumstances; requiring the Division of Public and Behavioral Health of the Department of Health and Human Services to create a form for a non-opioid directive; requiring the Administrator of the Division to appoint an advisory board to monitor compliance with laws and regulations relating to the non-opioid directive; requiring certain policies of health insurance to include coverage for at least one drug that is an alternative to opioids; requiring certain insurers to provide the form for a non-opioid directive to new insureds; revising the manner by which money in the Fund for a Resilient Nevada allocates money to projects and grants; and providing other matters properly relating thereto. - Status: failed - Chamber: Senate - Introduced: 2025-03-12 - Last action: 2025-06-03, (No further action taken.) - Sponsor: Roberta Lange (Democratic) - Cosponsors: 0 - Subjects: BDR 40-204 - Touches household money: yes - Economic provisions PRIA read: 12 ## Summary No summary available. ## Bill overview: provisions PRIA read - Health plans must cover opioid alternatives: benefit, medium. Covered policies and contracts delivered, issued for delivery, or renewed on or after January 1, 2026, must cover opioid alternatives. They must cover at least one effective non-opioid option for each common opioid use when an alternative exists. Plans cannot add approval or other requirements they… - Patients gain rights to non-opioid treatment: benefit, medium. Covered practitioners and facilities must offer a non-opioid treatment before first opioid use, unless none is suitable or offering one is impractical. Subject to medical exceptions, they must provide non-opioid treatment when a patient has a directive or requests or prefers it. Providers who know… - Medicaid reviews access to opioid alternatives: benefit, low. Nevada's Drug Use Review Board must regularly review Medicaid approval and try-another-drug-first rules for FDA-approved opioid alternatives. The reviews aim to ensure recipients have enough access to those drugs. The Board must also review new drug classes containing approved alternatives for uses… - Patients can record their opioid preferences: benefit, low. Nevada must create and post a non-opioid directive form explaining its legal effect and how to complete or cancel it. You or your legal guardian can make a directive declining opioids. It takes effect when delivered to a covered provider, facility, or coverage provider, which must record it. You ca… - Providers must check patients' opioid preferences: benefit, low. Except in emergencies, practitioners must check your record for a non-opioid directive before prescribing, giving, or supervising opioid treatment. If you do not already have one, they must explain the option and provide the form when requested. Covered facilities that give opioids must ensure prac… - Public employees keep pay during boardwork: benefit, low. Nevada state and local government employees serving on the advisory board keep regular pay while performing board duties. Paid release covers meeting preparation, attendance, and other board work. They cannot be required to make up that time or use annual leave or compensatory time. - Experts oversee patients' non-opioid directive protections: benefit, low. The state health division's administrator must appoint a board to advise on non-opioid directives and monitor compliance. Members must have expertise in safe opioid use in health care and substance use disorder treatment. They serve staggered three-year terms beginning July 1 of their appointment y… - Nevada can fund non-opioid treatment research: benefit, low. Nevada can use Fund for a Resilient Nevada money for statewide research on treatments that do not use opioids. Funding must follow the Fund's statewide plan. The law sets no specific research grant amount. - Public employee plans follow added rules: benefit, low. Local-government group coverage paid through a self-insurance reserve fund must follow an added insurance-law requirement. The Public Employees' Benefits Program Board must also follow an added requirement when it uses a self-insured plan. These changes extend insurance compliance rules to public e… - Providers face penalties for treatment violations: cost, low. Facilities violating the new requirements can face license denial, suspension, or revocation, admission limits, required fixes, and fines. Facility fines can reach $5,000 per day per violation; the county district attorney must prosecute when the Division applies. Licensees who help violate the rul… - Local costs receive different legal treatment: cost, low. Starting July 1, 2026, NRS 354.599 does not apply to extra local government expenses related to this law. The provision changes the legal treatment of those added costs. It states no expense amount or direct change to household taxes or services. - Patient protections phase in with referrals: mixed, low. The law delays specified treatment and directive duties until July 1, 2027, or six months after related regulations take effect, whichever is later. Facility and practitioner compliance reviews cannot begin before January 1, 2029, or 18 months after those regulations take effect, whichever is later… ## Sponsors and cosponsors - Sponsor: Roberta Lange (Democratic), Senate ## Actions (9) - 2025-06-03: (No further action taken.) (Senate) - 2025-04-24: From printer. To engrossment. Engrossed. First reprint. To committee. (Senate) - 2025-04-21: Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer. (Senate) - 2025-04-21: Notice of eligibility for exemption. (Senate) - 2025-04-21: Read second time. Amended. (Amend. No. 464.) (Senate) - 2025-04-21: Placed on Second Reading File. (Senate) - 2025-04-21: From committee: Amend, and do pass as amended. (Senate) - 2025-03-13: From printer. To committee. (Senate) - 2025-03-12: Read first time. Referred to Committee on Health and Human Services. To printer. (Senate) ## Bill text - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB337.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB337_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) - SB309: AN ACT relating to crimes; revising provisions relating to driving under the influence of alcohol or certain other prohibited substances; providing penalties;… (signed) ## Sources - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB337.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB337_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) - [SB309: AN ACT relating to crimes; revising provisions relating to driving under the in…](https://policyrisk.com/state-bill/NV-SB309-83rd2025) - [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-SB337-83rd2025 (as of 2026-11-01).