NevadaSB34483rd Regular Session (2025)SenateWALLET

AN ACT relating to insurance; requiring certain health insurance to cover certain screenings for genetic disorders in a fetus or the parents of a fetus; making an appropriation; and providing other matters properly relating thereto.

Sponsored By: Julie Pazina (Democratic), Marilyn Dondero Loop (Democratic), Melanie Scheible (Democratic), Nicole J. Cannizzaro (Democratic), Rochelle T. Nguyen (Democratic)

Signed by Governor

BDR 57-1104

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 3 benefits, 1 costs, 0 mixed.

Medicaid covers prenatal DNA screening

Beginning January 1, 2026, Nevada Medicaid covers noninvasive prenatal screening at any time in pregnancy, if federal funding is available. Medicaid cannot require prior authorization for this test. The Department applies for needed federal approvals to secure funding. The state provides $160,069 for FY 2025–26 and $325,848 for FY 2026–27 to help pay for this coverage, starting July 1, 2025. Any unused money reverts to the State General Fund by September 18, 2026 and September 17, 2027.

Most health plans cover prenatal DNA screening

Beginning January 1, 2026, most group and employer health plans in Nevada must cover noninvasive prenatal screening, a blood test that checks fetal DNA for chromosomal conditions. Plans must cover it at any time in pregnancy and cannot require prior authorization. The rule applies to HMOs, managed care plans, hospital/medical service corporations, fraternal benefit contracts, and many voluntary purchasing group plans. Any conflicting plan terms are void. The Insurance Commissioner can suspend or revoke an HMO’s license if it fails to provide this coverage.

New rules for public self-insured health plans

Local governments may offer group health coverage through self-insurance funds, but they must follow new oversight rules. The funds must be run as internal service funds, keep money in Nevada banks or credit unions, and use licensed administrators with contracts approved by the Insurance Commissioner. When a public board self-insures, it must follow the same Nevada insurance laws as licensed insurers, including the new prenatal screening coverage.

Local governments must cover added costs

Local governments are not protected by NRS 354.599 for extra expenses tied to this law. They may spend more to carry out the coverage rules. This change affects local budgets, not your personal taxes.

Sponsors & Cosponsors

Sponsors

  • Julie Pazina

    Democratic • Senate

  • Marilyn Dondero Loop

    Democratic • Senate

  • Melanie Scheible

    Democratic • Senate

  • Nicole J. Cannizzaro

    Democratic • Senate

  • Rochelle T. Nguyen

    Democratic • Senate

Cosponsors

  • Angela D. Taylor

    Democratic • Senate

  • Edgar Flores

    Democratic • Senate

  • Fabian Doñate

    Democratic • Senate

  • Michelee "Shelly" Cruz-Crawford

    Democratic • Senate

  • Roberta Lange

    Democratic • Senate

  • Skip Daly

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 60 • No: 0

House vote • 5/31/2025

Final Passage - Assembly (1st Reprint)

Yes: 40 • No: 0

Senate vote • 5/26/2025

Final Passage - Senate (1st Reprint)

Yes: 20 • No: 0

Actions Timeline

  1. Approved by the Governor. Chapter 448.

    6/9/2025legislature
  2. Enrolled and delivered to Governor.

    6/4/2025legislature
  3. To enrollment.

    6/2/2025Senate
  4. In Senate.

    6/1/2025Senate
  5. Read third time. Passed. Title approved. (Yeas: 40, Nays: None, Excused: 2.) To Senate.

    5/31/2025House
  6. Read second time.

    5/30/2025House
  7. Placed on Second Reading File.

    5/30/2025House
  8. From committee: Do pass.

    5/30/2025House
  9. Read first time. Referred to Committee on Commerce and Labor. To committee.

    5/26/2025House
  10. In Assembly.

    5/26/2025House
  11. From printer. To engrossment. Engrossed. First reprint. To Assembly.

    5/26/2025Senate
  12. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 20, Nays: None, Excused: 1.) To printer.

    5/26/2025Senate
  13. Reprinting dispensed with.

    5/26/2025Senate
  14. Read third time. Amended. (Amend. No. 756.)

    5/26/2025Senate
  15. Placed on General File.

    5/26/2025Senate
  16. From committee: Amend, and do pass as amended.

    5/26/2025Senate
  17. Taken from General File. Re-referred to Committee on Finance. Exemption effective. To committee.

    4/10/2025Senate
  18. Read second time.

    4/10/2025Senate
  19. Notice of eligibility for exemption.

    4/10/2025Senate
  20. From committee: Do pass.

    4/7/2025Senate
  21. From printer. To committee.

    3/13/2025Senate
  22. Read first time. Referred to Committee on Commerce and Labor. To printer.

    3/12/2025Senate

Bill Text

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