# Nevada SB434: 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. Nevada SB434, 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., is a 83rd Regular Session (2025) Senate bill sponsored by Nicole J. Cannizzaro (Democratic); status failed, last action 2025-06-03 ((No further action taken.)) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-SB434-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada SB434 - State: Nevada - Session: 83rd Regular Session (2025) - Title: 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. - Status: failed - Chamber: Senate - Introduced: 2025-03-24 - Last action: 2025-06-03, (No further action taken.) - Sponsor: Nicole J. Cannizzaro (Democratic) - Cosponsors: 0 - Subjects: BDR 40-1107 - Touches household money: no - Roll calls: 2 (60 yes, 2 no in all) - Economic provisions PRIA read: 4 ## Summary No summary available. ## Bill overview: provisions PRIA read - Nevada tracks shortages to guide care grants: benefit, low. 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,… - Nevada funds health care access projects: benefit, low. 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… - Health providers get grants with matching requirements: mixed, low. 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 coalit… - Health grant recipients face checks and repayment: mixed, low. 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 secur… ## Sponsors and cosponsors - Sponsor: Nicole J. Cannizzaro (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-06-02 | House | Final Passage - Assembly (2nd Reprint) | pass | 42 | 0 | | | 2025-05-26 | Senate | Final Passage - Senate (2nd Reprint) | pass | 18 | 2 | | ## Actions (33) - 2025-06-03: (No further action taken.) (House) - 2025-06-02: In Assembly. (House) - 2025-06-02: Assembly Amendment No. 972 not concurred in. To Assembly. (Senate) - 2025-06-02: In Senate. (Senate) - 2025-06-02: To Senate. (House) - 2025-06-02: From printer. To reengrossment. Reengrossed. Third reprint. (House) - 2025-06-02: To printer. (House) - 2025-06-02: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) (House) - 2025-06-02: Dispensed with reprinting. (House) - 2025-06-02: Read third time. Amended. (Amend. No. 972.) (House) - 2025-06-02: Placed on General File. (House) - 2025-06-02: Taken from Chief Clerk's desk. (House) - 2025-06-01: Placed on Chief Clerk's desk. (House) - 2025-06-01: Taken from General File. (House) - 2025-06-01: Read second time. (House) - 2025-06-01: Placed on Second Reading File. (House) - 2025-06-01: From committee: Do pass. (House) - 2025-05-27: Read first time. Referred to Committee on Ways and Means. 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, as amended. (Yeas: 18, Nays: 2, Excused: 1.) To printer. (Senate) - 2025-05-26: Reprinting dispensed with. (Senate) - 2025-05-26: Read third time. Amended. (Amend. No. 726.) (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. 468.) (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 Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB434.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB434_R1.pdf) - Reprint 2: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB434_R2.pdf) - Reprint 3: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB434_R3.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 Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB434.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB434_R1.pdf) - [Reprint 2 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB434_R2.pdf) - [Reprint 3 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB434_R3.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-SB434-83rd2025 (as of 2026-11-01).