All Roll Calls
Yes: 60 • No: 2
NevadaSB43483rd Regular Session (2025)Senate
AN ACT relating to health care; creating the Statewide Health Care Access and Recruitment Program Account; providing for certain transfers of money out of the Account; requiring a biennial assessment of the health care needs of this State; establishing the Statewide Health Care Access and Recruitment Grant Program to award grants of money to fund certain projects to address shortages of providers of health care or clinical services or expertise identified by the assessment; requiring a grantee to enter into a funding agreement with the Department of Health and Human Services; providing for certain oversight of projects funded through the Program; authorizing the Department to take certain actions in response to certain changes to a funded project or if a grantee fails to comply with a funding agreement or applicable law;making an appropriation; and providing other matters properly relating thereto.
Sponsored By: Nicole J. Cannizzaro (Democratic)
Failed
BDR 40-1107
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 2 benefits, 0 costs, 2 mixed.
Nevada tracks shortages to guide care grants
Nevada’s health department must assess statewide health care needs by July 1 of each even-numbered year. It must measure provider numbers and locations and identify shortages in places, specialties, and services. It also reviews unmet needs for technology and treatments, including genomic testing, cellular therapies, clinical trials, and palliative care. Findings guide grant priorities, suggest recruitment and retention policy changes, and evaluate funded projects. The department reports findings to the Governor and Legislature. For the assessment due by July 1, 2026, it must use existing assessments where available and suited to these purposes, rather than conduct a new assessment.
Nevada funds health care access projects
The law creates a dedicated state account for health care access and provider recruitment. Beginning July 1, 2026, Nevada puts $10 million from its General Fund into the account. The account also accepts gifts, grants, and donations, and keeps its interest and unspent year-end money. No more than 1% of account money can pay administrative costs. Transfers to obtain additional federal Medicaid funding need Interim Finance Committee approval. Program appropriations are separate from the Governor’s proposed budget.
Health providers get grants with matching requirements
Nevada creates competitive grants to add health care providers, build their skills, and expand services or innovative treatments. Eligible applicants include medical facilities, clinics, group practices, provider-training schools, behavioral health and substance use providers, and prevention coalitions. Qualifying cancer care organizations, government agencies, and nonprofits providing care, training, or expanded access can also apply. Projects must address state-identified shortages, set measurable goals, and show how they will keep operating after funding ends. Applicants must provide matching money or in-kind support worth at least the grant amount. Federal money counts toward the match only when applicants show the project qualifies and is likely to receive it. Funding priorities are unmet needs first, benefits in identified shortage areas second, and federal shortage areas or areas with at least 30% Medicaid enrollment third. Nevada also weighs geographic spread, lasting patient benefits, project capacity, collaboration, outside funding, and cost-saving technology. Beginning July 1, 2025, grant recommendations need Interim Finance Committee approval and cannot exceed available funds. When qualified applicants are available, the health department must recommend awarding all available money for the fiscal year. It must publicly record recommendations and refusals and tell approved applicants their award amount, payment schedule, and agreement terms.
Health grant recipients face checks and repayment
Beginning July 1, 2025, Nevada’s health department must sign grant agreements within 30 days after committee approval. Agreements set an end date, require annual reports, and tie installment payments to documented progress and performance goals. The department can require matching money to be secured or held in escrow and independently verify matching support. It must inspect, audit, or review projects at least annually; the state finance office can also audit them. Recipients must report major project or funding changes and submit revised plans. Projects ending early or inactive for 12 consecutive months also require notice and revised plans. For those projects, the department can require fixes within 60 days, repayment, liens, funding suspension or termination, or reassignment of unspent money. Early-ended projects need a report within 60 days. Agreement violations can trigger fixes within 60 days, repayment, funding suspension or termination, or reassignment of unspent money. Legal violations, misuse of money, or fraudulent information require suspension or termination, and the department can refer cases to prosecutors. Recipients must report at project completion and again 10 years later, covering results, all grant and matching spending, community effects, health and workforce data, and feedback.
Sponsors & Cosponsors
Sponsor
Nicole J. Cannizzaro
Democratic • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 6/2/2025
Final Passage - Assembly (2nd Reprint)
Yes: 42 • No: 0
Senate vote • 5/26/2025
Final Passage - Senate (2nd Reprint)
Yes: 18 • No: 2
Actions Timeline
(No further action taken.)
6/3/2025HouseIn Assembly.
6/2/2025HouseAssembly Amendment No. 972 not concurred in. To Assembly.
6/2/2025SenateIn Senate.
6/2/2025SenateTo Senate.
6/2/2025HouseFrom printer. To reengrossment. Reengrossed. Third reprint.
6/2/2025HouseTo printer.
6/2/2025HouseRead third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.)
6/2/2025HouseDispensed with reprinting.
6/2/2025HouseRead third time. Amended. (Amend. No. 972.)
6/2/2025HousePlaced on General File.
6/2/2025HouseTaken from Chief Clerk's desk.
6/2/2025HousePlaced on Chief Clerk's desk.
6/1/2025HouseTaken from General File.
6/1/2025HouseRead second time.
6/1/2025HousePlaced on Second Reading File.
6/1/2025HouseFrom committee: Do pass.
6/1/2025HouseRead first time. Referred to Committee on Ways and Means. 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, as amended. (Yeas: 18, Nays: 2, Excused: 1.) To printer.
5/26/2025SenateReprinting dispensed with.
5/26/2025SenateRead third time. Amended. (Amend. No. 726.)
5/26/2025SenatePlaced on General File.
5/26/2025SenateFrom committee: Amend, and do pass as amended.
5/26/2025Senate
Bill Text
As Introduced
Reprint 1
Reprint 2
Reprint 3
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