NevadaSB49783rd Regular Session (2025)Senate

AN ACT relating to Medicaid; eliminating the requirement that the Director of the Department of Health and Human Services biennially establish rates of reimbursement for certain applied behavioral analysis services that are comparable to rates of reimbursement paid for those services by Medicaid programs in other states; and providing other matters properly relating thereto.

Sponsored By: Senate Committee on Finance

Signed by Governor

BDR 38-1238

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 1 benefits, 0 costs, 3 mixed.

State pays ABA share for Medicaid youth

If you are on Nevada Medicaid and under 27, the state pays its nonfederal share for applied behavior analysis (ABA) services. The service must be provided by a behavior analyst, assistant behavior analyst, or registered behavior technician. This starts July 1, 2025. This helps keep coverage in place and reduces the chance of out-of-pocket costs.

Daily ABA billing caps and training

The health agency sets a daily cap on hours that ABA providers can bill for one Medicaid recipient. The cap applies to behavior analysts, assistant behavior analysts, and registered behavior technicians in any 24-hour period. The agency also trains these providers on the new limits. These rules start July 1, 2025. The cap may limit concentrated daily services but aims to curb excessive billing and errors.

Changes start July 1, 2025

All changes in this act take effect July 1, 2025.

ABA Medicaid rates no longer benchmarked

The state no longer must set ABA payment rates every two years to match other states. This change starts July 1, 2025. The law does not set new rates; Medicaid uses its general rate-setting process.

Sponsors & Cosponsors

Sponsor

  • Senate Committee on Finance

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 62 • No: 0

House vote • 5/31/2025

Final Passage - Assembly (As Introduced)

Yes: 41 • No: 0

Senate vote • 5/22/2025

Final Passage - Senate (As Introduced)

Yes: 21 • No: 0

Actions Timeline

  1. Chapter 362.

    6/6/2025legislature
  2. Approved by the Governor.

    6/5/2025legislature
  3. Enrolled and delivered to Governor.

    6/4/2025legislature
  4. To enrollment.

    6/2/2025Senate
  5. In Senate.

    6/1/2025Senate
  6. Read third time. Passed. Title approved. (Yeas: 41, Nays: None, Excused: 1.) To Senate.

    5/31/2025House
  7. Taken from General File. Placed on General File for next legislative day.

    5/30/2025House
  8. Taken from General File. Placed on General File for next legislative day.

    5/29/2025House
  9. Read second time.

    5/28/2025House
  10. Placed on Second Reading File.

    5/28/2025House
  11. From committee: Do pass.

    5/28/2025House
  12. Read first time. Referred to Committee on Health and Human Services. To committee.

    5/23/2025House
  13. In Assembly.

    5/23/2025House
  14. Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.

    5/22/2025Senate
  15. Read second time.

    5/21/2025Senate
  16. Placed on Second Reading File.

    5/21/2025Senate
  17. From committee: Do pass.

    5/21/2025Senate
  18. From printer. To committee.

    5/20/2025Senate
  19. Read first time. Referred to Committee on Health and Human Services. To printer.

    5/19/2025Senate

Bill Text

  • As Enrolled

  • As Introduced

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