All Roll Calls
Yes: 59 • No: 0
NevadaSB5483rd Regular Session (2025)SenateWALLET
AN ACT relating to Medicaid; requiring Medicaid to provide coverage for medical respite care for persons experiencing homelessness, if federal financial participation is available; requiring the development of a model for providing such medical respite care; and providing other matters properly relating thereto.
Sponsored By: Senate Committee on Health and Human Services
Signed by Governor
BDR 38-412
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
Medical respite care for homeless Medicaid members
Beginning July 1, 2027, Nevada Medicaid covers medical respite care for people experiencing homelessness when federal funding is available. You can get up to 90 days in any 12-month period. Covered services include case management, care coordination, behavioral health help, and medication storage and management. You also get meals and housing supports, acute and post-acute care, wound care, rides to appointments, quick help for medical and social needs, and substance use care and education. A person “experiencing homelessness” includes someone who is transient, at imminent risk, or homeless.
Federal OK and start date for coverage
The Medicaid agency must apply for any federal waiver or State Plan change needed to get funding for medical respite care. Agencies can start writing rules and doing prep work now. Full coverage and the Director’s oversight duties take effect July 1, 2027.
24/7 staffing and training at respite sites
State health agencies set a model for medical respite care that tracks national standards when allowed by law. Facilities that want Medicaid payment must follow this model. They must have qualified health staff on site 24 hours a day, 7 days a week. Staff must be trained in trauma-informed care, de-escalation, and mental health first aid, including recognizing and responding to mental illness and substance use. These rules improve safety and consistency but add staffing and training duties for providers.
Sponsors & Cosponsors
Sponsor
Senate Committee on Health and Human Services
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 5/31/2025
Final Passage - Assembly (2nd Reprint)
Yes: 39 • No: 0
Senate vote • 5/26/2025
Final Passage - Senate (1st Reprint)
Yes: 20 • No: 0
Actions Timeline
Chapter 375.
6/6/2025legislatureApproved by the Governor.
6/6/2025legislatureEnrolled and delivered to Governor.
6/4/2025legislatureTo enrollment.
6/2/2025SenateIn Senate.
6/1/2025SenateRead third time. Passed. Title approved. (Yeas: 39, Nays: None, Excused: 3.) To Senate.
5/31/2025HouseTaken from General File. Placed on General File for next legislative day.
5/30/2025HouseTaken from General File. Placed on General File for next legislative day.
5/29/2025HouseRead second time.
5/28/2025HousePlaced on Second Reading File.
5/28/2025HouseFrom committee: Do pass.
5/28/2025HouseRead first time. Referred to Committee on Health and Human Services. 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. (Yeas: 20, Nays: None, Excused: 1.) To printer.
5/26/2025SenateReprinting dispensed with.
5/26/2025SenateRead third time. Amended. (Amend. No. 803.)
5/26/2025SenatePlaced on General File.
5/26/2025SenateFrom committee: Amend, and do pass as amended.
5/26/2025SenateTo committee.
4/23/2025SenateFrom printer. To engrossment. Engrossed. First reprint.
4/23/2025SenateTaken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.
4/21/2025SenateRead second time. Amended. (Amend. No. 459.)
4/21/2025SenateNotice of eligibility for exemption.
4/21/2025SenatePlaced on Second Reading File.
4/21/2025Senate
Bill Text
As Enrolled
As Introduced
Reprint 1
Reprint 2
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