NevadaSB40883rd Regular Session (2025)Senate

AN ACT relating to health care; revising provisions governing the employment and training of certain providers of health care by a county hospital or county hospital district; authorizing a county or district hospital to contract for the provision of certain services; authorizing a county or district hospital to form a separate organization for certain purposes; and providing other matters properly relating thereto.

Sponsored By: Senate Committee on Health and Human Services

Signed by Governor

BDR 40-559

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

County hospitals can expand crisis services

Starting July 1, 2025, county and district hospitals can contract with private providers for emergency medical services, including transport. They can also form a separate organization to run or contract for these services. Hospitals can contract to provide crisis stabilization and other mental or behavioral health services. Crisis stabilization must be tied to a facility that has, or is seeking, state crisis‑stabilization endorsement. Services may be for people admitted to the hospital or not, and for the general public’s health and welfare.

Accredited training for hospital residents

Starting July 1, 2025, county hospital training programs for residents, fellows, and postgraduates must meet American Medical Association recognition standards. Programs must have Accreditation Council for Graduate Medical Education accreditation. This raises quality rules for training at county hospitals.

Updated hiring rules at county hospitals

Starting July 1, 2025, hospital boards may hire physicians, surgeons, and dentists, including residents and fellows. The word “interns” is removed from the list of staff who may be employed. Boards set pay, set rules for who may practice in the hospital, and may remove staff.

Sponsors & Cosponsors

Sponsor

  • Senate Committee on Health and Human Services

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 63 • No: 0

House vote • 5/21/2025

Final Passage - Assembly (1st Reprint)

Yes: 42 • No: 0

Senate vote • 4/22/2025

Final Passage - Senate (1st Reprint)

Yes: 21 • No: 0

Actions Timeline

  1. Chapter 89.

    5/28/2025legislature
  2. Approved by the Governor.

    5/28/2025legislature
  3. Enrolled and delivered to Governor.

    5/27/2025legislature
  4. To enrollment.

    5/22/2025Senate
  5. In Senate.

    5/21/2025Senate
  6. Read third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate.

    5/21/2025House
  7. Taken from General File. Placed on General File for next legislative day.

    5/20/2025House
  8. Taken from General File. Placed on General File for next legislative day.

    5/19/2025House
  9. Read second time.

    5/16/2025House
  10. From committee: Do pass.

    5/15/2025House
  11. Read first time. Referred to Committee on Health and Human Services. To committee.

    4/28/2025House
  12. In Assembly.

    4/28/2025House
  13. To Assembly.

    4/28/2025Senate
  14. From printer. To engrossment. Engrossed. First reprint.

    4/25/2025Senate
  15. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 21, Nays: None.) To printer.

    4/22/2025Senate
  16. Reprinting dispensed with.

    4/21/2025Senate
  17. Read second time. Amended. (Amend. No. 359.)

    4/21/2025Senate
  18. Placed on Second Reading File.

    4/21/2025Senate
  19. From committee: Amend, and do pass as amended.

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

    3/21/2025Senate
  21. Read first time. Referred to Committee on Health and Human Services. To printer.

    3/20/2025Senate

Bill Text

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