All Roll Calls
Yes: 54 • No: 7
NevadaSB42483rd Regular Session (2025)SenateWALLET
AN ACT relating to emergency medical services; requiring the Division of Health Care Financing and Policy of the Department of Health and Human Services to impose an assessment on private emergency medical transport providers; creating the Account to Improve Emergency Medical Transportation Quality and Access; prescribing the authorized uses of the revenue generated by the assessment; requiring the Division to adopt regulations establishing administrative penalties; authorizing the Division to collect an unpaid assessment or administrative penalty; authorizing certain health authorities to impose administrative penalties or take other disciplinary actions in certain circumstances; authorizing a health authority to establish a training program relating to human trafficking; establishing requirements for such a training program; and providing other matters properly relating thereto.
Sponsored By: Senate Committee on Health and Human Services
Signed by Governor
BDR 38-561
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 2 benefits, 1 costs, 1 mixed.
Higher Medicaid pay for ambulances
The law creates the Account to Improve Emergency Medical Transportation Quality and Access. Money from the new ambulance assessment, penalties, and interest goes into this Account. Except for up to 10% for data, outreach, and program costs, all funds and federal matches pay higher Medicaid rates to private ambulance providers. The state can raise pay through fee‑for‑service increases, a minimum schedule for managed care, or directed payments. Funds carry forward and cannot replace existing Medicaid money. If lawmakers later allow other uses, the Division stops the assessment. This program starts July 1, 2025.
New fees and penalties for private ambulances
Private ambulance providers must pay a new state assessment on net patient revenue from emergency transports, reported on a cash basis. The rate is set by regulation, tied to the federal maximum, and cannot exceed 5.5%. Providers must report revenue and keep records. The Division sets due dates, can fine late payers, and after 30 days can take unpaid amounts from future Medicaid payments after notice and a possible payment plan. Health authorities may require fixes, fine, or suspend or revoke a permit for nonpayment, with notice and a hearing. Agencies may adopt rules now, and full operations begin July 1, 2025.
Protections and adjustments for ambulance fees
If funding or Medicaid rates fall, federal matching is not available, or revenue is too low, the state must stop the ambulance assessment and stop using Account money. The state must return any money it cannot use to providers. These stop rules apply to eligible periods on or after July 1, 2025, including while federal approval is pending. When the problem ends, the state resumes collections and enhanced payments, and sets a schedule to collect past fees and pay past enhancements. The Division can also adjust the assessment rate and payment formulas to secure federal matching, after consulting providers covering at least 67% of trips, but cannot collect more than needed.
Emergency worker training on human trafficking
Health authorities may run an evidence‑based course to help emergency workers spot and help trafficking victims. It is built with an accredited college and follows federal care standards when available. It covers outreach, screening, trauma‑informed care, referrals, and privacy. The course provides at least one hour of instruction and is offered to current workers and license applicants.
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: 38 • No: 3
Senate vote • 5/26/2025
Final Passage - Senate (2nd Reprint)
Yes: 16 • No: 4
Actions Timeline
Chapter 391.
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: 38, Nays: 3, Excused: 1.) 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.
5/27/2025HouseIn Assembly.
5/27/2025HouseFrom printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly.
5/27/2025SenateRead third time. Passed, as amended. Title approved. (Yeas: 16, Nays: 4, Excused: 1.) To printer.
5/26/2025SenateReprinting dispensed with.
5/26/2025SenateRead third time. Amended. (Amend. No. 759.)
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.
4/21/2025SenateNotice of eligibility for exemption.
4/21/2025SenateRead second time. Amended. (Amend. No. 467.)
4/21/2025SenatePlaced on Second Reading File.
4/21/2025SenateFrom committee: Amend, and do pass as amended.
4/21/2025Senate
Bill Text
As Enrolled
As Introduced
Reprint 1
Reprint 2
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