# Nevada SB424: 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. Nevada SB424, 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., is a 83rd Regular Session (2025) Senate bill sponsored by Senate Committee on Health and Human Services; status signed, last action 2025-06-06 (Chapter 391.) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-SB424-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada SB424 - State: Nevada - Session: 83rd Regular Session (2025) - Title: 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. - Status: signed - Chamber: Senate - Introduced: 2025-03-24 - Last action: 2025-06-06, Chapter 391. - Sponsor: Senate Committee on Health and Human Services - Cosponsors: 0 - Subjects: BDR 38-561 - Touches household money: no - Roll calls: 2 (54 yes, 7 no in all) - Economic provisions PRIA read: 5 ## Summary No summary available. ## Bill overview: provisions PRIA read - New fund boosts Medicaid ambulance payments: benefit, medium. 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 fir… - Anti-trafficking training for responders: benefit, medium. 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 emerge… - New fees and enforcement for private ambulances: cost, high. 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… - Assessment pauses if funding drops: mixed, medium. 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… - When these changes take effect: mixed, low. 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 and cosponsors - Sponsor: Senate Committee on Health and Human Services ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-31 | House | Final Passage - Assembly (2nd Reprint) | pass | 38 | 3 | | | 2025-05-26 | Senate | Final Passage - Senate (2nd Reprint) | pass | 16 | 4 | | ## Actions (27) - 2025-06-06: Chapter 391. (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: 38, Nays: 3, Excused: 1.) To Senate. (House) - 2025-05-30: Taken from General File. Placed on General File for next legislative day. (House) - 2025-05-29: Taken from General File. Placed on General File for next legislative day. (House) - 2025-05-28: Read second time. (House) - 2025-05-28: Placed on Second Reading File. (House) - 2025-05-28: From committee: Do pass. (House) - 2025-05-27: Read first time. Referred to Committee on Health and Human Services. 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. (Yeas: 16, Nays: 4, Excused: 1.) To printer. (Senate) - 2025-05-26: Reprinting dispensed with. (Senate) - 2025-05-26: Read third time. Amended. (Amend. No. 759.) (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. 467.) (Senate) - 2025-04-21: Placed on Second Reading File. (Senate) - 2025-04-21: From committee: Amend, and do pass as amended. (Senate) - 2025-03-26: From printer. To committee. (Senate) - 2025-03-24: 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/SB424_EN.pdf) - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB424.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB424_R1.pdf) - Reprint 2: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB424_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) - SB376: AN ACT relating to industrial insurance; authorizing an injured employee with a claim for an occupational lung disease or occupational heart disease to seek tr… (signed) ## Sources - [As Enrolled (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB424_EN.pdf) - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB424.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB424_R1.pdf) - [Reprint 2 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB424_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) - [SB376: AN ACT relating to industrial insurance; authorizing an injured employee with a…](https://policyrisk.com/state-bill/NV-SB376-83rd2025) - [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-SB424-83rd2025 (as of 2026-11-01).