All Roll Calls
Yes: 54 • No: 7
NevadaSB42483rd Regular Session (2025)Senate
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
5 provisions identified: 2 benefits, 1 costs, 2 mixed.
New fees and enforcement for private ambulances
Private ambulance providers must pay a new assessment based on net revenue from emergency trips. The rate cannot be higher than the federal limit or 5.5%. Providers must report trip and revenue data, keep records, and meet Division deadlines. If you pay late, the Division can fine you, take unpaid amounts from future Medicaid payments after notice, and tell your permitting health authority. Health authorities can require fixes, fine you, or suspend or revoke your ambulance permit after a hearing. The Division can adjust the assessment and enhanced Medicaid payment formulas to secure federal matches after consulting providers that cover at least 67% of trips.
New fund boosts Medicaid ambulance payments
The state creates an Account to improve emergency medical transport. At least 90% of yearly assessment money goes to higher Medicaid payments to private ambulance providers. No more than 10% can be used to run the program and for data, education, and outreach, with program administration funded first. Account money cannot replace existing Medicaid funds, and unused balances carry forward each year. The Director seeks federal matching funds. If lawmakers later repurpose the Account, the assessment ends.
Anti-trafficking training for responders
A health authority can set up training to help emergency responders spot and respond to human trafficking. The training is evidence-based, coordinated with an accredited college, and at least one hour long. It follows federal provider standards if they are published. It is offered to current emergency response employees and to applicants for related licenses and certificates.
Assessment pauses if funding drops
The Division must stop charging and using the assessment if federal law bans its use, if there is no federal match, if funding falls below the level for the year ending June 30, 2025, if Medicaid ambulance rates drop below June 30, 2022 levels, or if revenue is too low. It must return any money it cannot lawfully use to the providers who paid it. When conditions clear, the Division restarts the assessment and enhanced payments and sets a schedule to collect and pay for the paused period. These pause-and-resume rules apply to periods on or after July 1, 2025, including while federal approval is pending.
When these changes take effect
Agencies can start writing rules and preparing now that the law is enacted. For all other purposes, the law takes effect on July 1, 2025.
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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