# Nevada SB389: AN ACT relating to prescription drugs; requiring the Department of Health and Human Services to select and contract with a state pharmacy benefit manager to manage pharmacy benefits for Medicaid and certain other health benefit plans; requiring the Department to establish certain methodologies for the payment of and rates of reimbursement for prescription drugs under Medicaid; requiring the Department to establish a benchmark to measure certain data relating to the cost of prescription drugs; prescribing certain duties of the state pharmacy benefit manager; requiring that the Department approve certain contracts entered into by the state pharmacy benefit manager; prohibiting the state pharmacy benefit manager from engaging in certain activities; requiring a Medicaid managed care organization to contract with and utilize the state pharmacy benefit manager to manage pharmacy benefits; requiring a Medicaid managed care organization to provide certain information to the Department upon request; and providing other matters properly relating thereto. Nevada SB389, AN ACT relating to prescription drugs; requiring the Department of Health and Human Services to select and contract with a state pharmacy benefit manager to manage pharmacy benefits for Medicaid and certain other health benefit plans; requiring the Department to establish certain methodologies for the payment of and rates of reimbursement for prescription drugs under Medicaid; requiring the Department to establish a benchmark to measure certain data relating to the cost of prescription drugs; prescribing certain duties of the state pharmacy benefit manager; requiring that the Department approve certain contracts entered into by the state pharmacy benefit manager; prohibiting the state pharmacy benefit manager from engaging in certain activities; requiring a Medicaid managed care organization to contract with and utilize the state pharmacy benefit manager to manage pharmacy benefits; requiring a Medicaid managed care organization to provide certain information to the Department upon request; and providing other matters properly relating thereto., is a 83rd Regular Session (2025) Senate bill sponsored by Jeff Stone (Republican), Melanie Scheible (Democratic); status signed, last action 2025-06-06 (Chapter 390.); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-SB389-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada SB389 - State: Nevada - Session: 83rd Regular Session (2025) - Title: AN ACT relating to prescription drugs; requiring the Department of Health and Human Services to select and contract with a state pharmacy benefit manager to manage pharmacy benefits for Medicaid and certain other health benefit plans; requiring the Department to establish certain methodologies for the payment of and rates of reimbursement for prescription drugs under Medicaid; requiring the Department to establish a benchmark to measure certain data relating to the cost of prescription drugs; prescribing certain duties of the state pharmacy benefit manager; requiring that the Department approve certain contracts entered into by the state pharmacy benefit manager; prohibiting the state pharmacy benefit manager from engaging in certain activities; requiring a Medicaid managed care organization to contract with and utilize the state pharmacy benefit manager to manage pharmacy benefits; requiring a Medicaid managed care organization to provide certain information to the Department upon request; and providing other matters properly relating thereto. - Status: signed - Chamber: Senate - Introduced: 2025-03-17 - Last action: 2025-06-06, Chapter 390. - Sponsors: Jeff Stone (Republican), Melanie Scheible (Democratic) - Cosponsors: 1 - Subjects: BDR 38-240 - Touches household money: yes - Roll calls: 2 (59 yes, 2 no in all) - Economic provisions PRIA read: 6 ## Summary No summary available. ## Bill overview: provisions PRIA read - Cancer patients can skip step therapy: benefit, high. Beginning January 1, 2030, a Nevada Medicaid recipient with stage 3 or 4 cancer can ask to skip step therapy. You, your doctor, or a designated advocate can apply and give clinical reasons. A qualified doctor, nurse, or pharmacist reviews it. The reviewer must decide within 72 hours, or faster if y… - Single state manager for Medicaid drugs: benefit, medium. Starting January 1, 2030, the Department selects and contracts with a single state pharmacy benefit manager to run drug benefits. Medicaid managed care plans must use this manager and give the Department spending details when asked. Contracts must follow all state and federal laws and require the m… - Stronger rules and full drug rebate pass-through: benefit, medium. Beginning January 1, 2030, the state’s drug benefit manager must give the Department 100% of all drug rebates. Contracts ban spread pricing, pharmacy steering, and required mail‑order, and they must not pay less than the State’s approved dispensing fee. The manager and HMOs must disclose fees, reba… - New Medicaid pharmacy pay and fees: mixed, medium. The Department sets how pharmacies are paid and the dispensing fees for Medicaid, with separate rules for pharmacies owned by 340B covered‑entity facilities. Fees can differ by pharmacy type where federal law allows. Payment aims to use a drug’s actual acquisition cost and the Nevada Average Acquis… - Medicaid rules for 340B drug discounts: mixed, medium. Beginning January 1, 2030, some 340B protections do not apply when the state’s drug manager runs Medicaid pharmacy benefits. The Department and Medicaid plans may set terms to prevent duplicate discounts and protect Medicaid finances. This can change how 340B providers are paid and how networks ope… - Nevada drug price benchmark and data: mixed, low. The Department may set a Nevada Average Acquisition Cost benchmark only if it will reduce State spending. It can use surveys and data from the state’s drug manager to set it, and must report savings to lawmakers every two years by February 1. Providers that run pharmacies for 340B covered entities… ## Sponsors and cosponsors - Sponsor: Jeff Stone (Republican), Senate - Sponsor: Melanie Scheible (Democratic), Senate - Cosponsor: Skip Daly (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-31 | House | Final Passage - Assembly (2nd Reprint) | pass | 41 | 0 | | | 2025-05-26 | Senate | Final Passage - Senate (2nd Reprint) | pass | 18 | 2 | | ## Actions (25) - 2025-06-06: Chapter 390. (legislature) - 2025-06-06: Approved by the Governor. (legislature) - 2025-06-04: Enrolled and delivered to Governor. (legislature) - 2025-06-02: To enrollment. (Senate) - 2025-06-01: In Senate. (Senate) - 2025-05-31: Read third time. Passed. Title approved. (Yeas: 41, Nays: None, Excused: 1.) To Senate. (House) - 2025-05-30: Read second time. (House) - 2025-05-30: Placed on Second Reading File. (House) - 2025-05-30: From committee: Do pass. (House) - 2025-05-27: Read first time. Referred to Committee on Commerce and Labor. To committee. (House) - 2025-05-27: In Assembly. (House) - 2025-05-27: From printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly. (Senate) - 2025-05-26: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 18, Nays: 2, Excused: 1.) To printer. (Senate) - 2025-05-26: Reprinting dispensed with. (Senate) - 2025-05-26: Read third time. Amended. (Amend. No. 725.) (Senate) - 2025-05-26: Placed on General File. (Senate) - 2025-05-26: From committee: Amend, and do pass as amended. (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. 465.) (Senate) - 2025-04-21: Placed on Second Reading File. (Senate) - 2025-04-21: From committee: Amend, and do pass as amended. (Senate) - 2025-03-18: From printer. To committee. (Senate) - 2025-03-17: Read first time. Referred to Committee on Health and Human Services. To printer. (Senate) ## Bill text - As Enrolled: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB389_EN.pdf) - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB389.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB389_R1.pdf) - Reprint 2: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB389_R2.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) - SB352: AN ACT relating to health care; prohibiting certain health insurers and providers of health care from engaging in certain discriminatory actions; and providing… (vetoed) ## Sources - [As Enrolled (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB389_EN.pdf) - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB389.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB389_R1.pdf) - [Reprint 2 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB389_R2.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) - [SB352: AN ACT relating to health care; prohibiting certain health insurers and provide…](https://policyrisk.com/state-bill/NV-SB352-83rd2025) - [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-SB389-83rd2025 (as of 2026-11-01).