# Nevada SB497: 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. Nevada SB497, 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., is a 83rd Regular Session (2025) Senate bill sponsored by Senate Committee on Finance; status signed, last action 2025-06-06 (Chapter 362.) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-SB497-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada SB497 - State: Nevada - Session: 83rd Regular Session (2025) - Title: 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. - Status: signed - Chamber: Senate - Introduced: 2025-05-19 - Last action: 2025-06-06, Chapter 362. - Sponsor: Senate Committee on Finance - Cosponsors: 0 - Subjects: BDR 38-1238 - Touches household money: no - Roll calls: 2 (62 yes, 0 no in all) - Economic provisions PRIA read: 4 ## Summary No summary available. ## Bill overview: provisions PRIA read - State pays ABA share for Medicaid youth: benefit, medium. 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 plac… - Daily ABA billing caps and training: mixed, medium. 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 sta… - Changes start July 1, 2025: mixed, low. All changes in this act take effect July 1, 2025. - ABA Medicaid rates no longer benchmarked: mixed, low. 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 and cosponsors - Sponsor: Senate Committee on Finance ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-31 | House | Final Passage - Assembly (As Introduced) | pass | 41 | 0 | | | 2025-05-22 | Senate | Final Passage - Senate (As Introduced) | pass | 21 | 0 | | ## Actions (19) - 2025-06-06: Chapter 362. (legislature) - 2025-06-05: 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: 41, Nays: None, 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) - 2025-05-23: Read first time. Referred to Committee on Health and Human Services. To committee. (House) - 2025-05-23: In Assembly. (House) - 2025-05-22: Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly. (Senate) - 2025-05-21: Read second time. (Senate) - 2025-05-21: Placed on Second Reading File. (Senate) - 2025-05-21: From committee: Do pass. (Senate) - 2025-05-20: From printer. To committee. (Senate) - 2025-05-19: 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/SB497_EN.pdf) - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB497.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) - SB460: AN ACT relating to education; revising provisions governing plans to improve academic achievement; providing for the waiver of certain reporting requirements;… (signed) ## Sources - [As Enrolled (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB497_EN.pdf) - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB497.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) - [SB460: AN ACT relating to education; revising provisions governing plans to improve ac…](https://policyrisk.com/state-bill/NV-SB460-83rd2025) - [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-SB497-83rd2025 (as of 2026-11-01).