[{"_1":2,"_87":-5,"_88":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6617789,"mediaKeyId","2839404-05694204d9ef877fc2129187a60ccbe8","parentId",2839404,"title","Nevada senators hear bill to create tax credit for donations to graduate medical education","audioSeconds",3126,"startMs",56835,"endMs",3183000,"viewUrl","/Search/View?dp=1&key=2839404-05694204d9ef877fc2129187a60ccbe8&start=56&end=3183","thumbnailUrl","https://assets.pipeline.soar.com/2839404-05694204d9ef877fc2129187a60ccbe8/thumbnail_56835.jpg","articleUrl","/articles/6617789/Nevada/Nevada-senators-hear-bill-to-create-tax-credit-for-donations-to-graduate-medical-education","mediaUrl","https://secure.pipeline.soar.com/6617789-5633678110cebb618ad18ad708c927fd/orig.mp4?Expires=1770436901&Signature=b44MAUoMT843c1ipJpjrMHmN3J-NJOi7Zwv2Ia4aUd13vBWWJuweRiYimrAEsyUxb821KpYm89X8D8iA6WcyH6gG1sb2x4i2Hv7TkOyaAUrjSrukzvWI2ri75L4klaAsJM3AYMPUWlXrp9xTiOUdk5H1vERhVMs5xCr2NFYFVbXXkOfwVTTVvT1qekbeQSax9WrlSHJAG~qeOqjv5iBzUnt7CKUVjhdcOw55Bij5~MSAiFM4jCMSbyWxFtj4OdiF6WSrCq0cCNzJe~gdsGYiVvLbw7FF3HHe5QLB6W6EpLGKR5K-zqnW8CTj37iBq6caoCtxAaz75gYKCP6pLKYEMw__&Key-Pair-Id=KUT5TJCACFTXG","author","Nevada State Legislature","date","2025-04-01T21:40:36.177Z","article","CARSON CITY — The Senate Committee on Revenue and Economic Development heard testimony on Senate Bill 269 on the shortage of physicians and other specialists in Nevada and a proposal to create a tax credit to encourage private donations for graduate medical education.

Senator Robin Titus, sponsor of SB269, told the committee the bill would allow businesses and taxpayers subject to the modified business tax to apply for a credit against that tax for monetary donations to the graduate medical education grant program. \"Senate bill 269 seeks to secure reliable and ongoing funding for GME independent of federal resources,\" Titus said.

The bill as presented would cap eligible credits at $4,000,000 for fiscal year 2027, with that cap increasing by 3% each subsequent fiscal year. The Office of Science, Innovation and Technology would review applications and issue a decision within 20 days; once the program receives funds the office would issue a certificate confirming the credit, and a donor would have 30 days to complete the donation or forfeit the credit. The bill requires the Office of Science, Innovation and Technology to notify the Department of Taxation of approved applications, issued certificates and forfeited claims. Titus said an amendment recommended by the Department of Taxation would set an effective date of July 1, 2026 to avoid programming costs to the department's legacy system.

Supporters said the proposal aims to expand residency and fellowship slots so more medical school graduates can complete the mandatory post‑graduate training that determines where many physicians ultimately practice. \"SB269 is not just a legislative proposal, but a vital investment in the health and well‑being of our great state,\" said Steven Lencioni, a fourth‑year medical student at the University of Nevada, Reno School of Medicine, who testified as a private citizen. He described personal and statewide effects of insufficient residency positions, including that Nevada ranks near the bottom nationally for active physicians, primary care doctors and general surgeons per capita.

Testimony provided cost and capacity context. Dr. Daniel Spogan, who has led residency development in rural Nevada, said it costs about $200,000 per year to educate one resident and $2 million to $3 million to start a new program. Blaine Osborne of Nevada Rural Hospital Partners cited research from the University of Nevada, Reno School of Medicine reporting the state could use roughly 2,500 additional doctors to reach the national average; he said Nevada fills roughly 500 residency slots and is therefore at about 20% of the need.

Hospitals, medical schools, physician groups and community health centers supported SB269 at the hearing. Supporters included UNLV and Touro medical students and faculty, Intermountain Health, Dignity Health St. Rose Dominican, Renown Health, the Nevada Hospital Association, Nevada Rural Hospital Partners, Community Health Alliance, the Nevada Public Health Association and the Nevada State Medical Association.

Opponents raised concerns about using tax credits rather than a budget appropriation. Alexander Marks of the Nevada State Education Association said the bill would reduce state tax revenues by the amount of credits claimed and urged the Legislature to consider a general‑fund appropriation instead. Senator Cruz Crawford and other committee members asked whether the credit model would divert general revenue and whether a single institution could apply for a large share of credits without expanding residency capacity. Fiscal staff and proponents said the credit only reduces modified business tax revenue if donations are actually made and that the program is patterned on an existing education scholarship tax‑credit program that is processed by the Department of Taxation, with applications handled first‑come, first‑served under current practice.

Senator Titus and witnesses said the grant advisory council established by prior legislation would determine how grant dollars are used. Titus said the council includes deans and hospital representatives and will prioritize programs that address statewide clinical needs and rural shortages, and that the intent of SB269 is to create sustained funding that does not revert to the general fund if a residency takes multiple years to stand up.

No committee action or vote on SB269 was taken at the hearing; committee discussion centered on technical questions, fiscal impact and oversight. The hearing record included requests for clarifying language on application limits and safeguards to ensure donations result in demonstrable expansion of GME slots.

Looking ahead, proponents urged the committee to advance the bill to provide an additional funding pathway for residency programs and to reduce the loss of home‑grown medical graduates to other states.","mediaType","Video","parentTitle","4/1/2025 - Senate Committee on Revenue and Economic Development","oneSentenceSummary","The Senate Committee on Revenue and Economic Development heard testimony on Senate Bill 269 on the shortage of physicians and other specialists in Nevada and a proposal to create a tax credit to encourage private donations for graduate medical education.","taxTitle","2025 Legislature NV, Nevada","taxId",78440,"location","Nevada","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6617785,"Committee hears bill to change Nevada bank‑branch excise tax, sponsors say change modernizes policy",0,3157695,"/Search/View?dp=1&key=2839404-05694204d9ef877fc2129187a60ccbe8&start=3157&end=3157","https://assets.pipeline.soar.com/2839404-05694204d9ef877fc2129187a60ccbe8/thumbnail_3157695.jpg","/articles/6617785/Nevada/Committee-hears-bill-to-change-Nevada-bankbranch-excise-tax-sponsors-say-change-modernizes-policy","https://secure.pipeline.soar.com/6617785-541f6a9efdcf646248a106532ab05259/orig.mp4?Expires=1770436901&Signature=mApAvKEiHOfBE~5C1OZa3iFBLD-ZGaM1OvRR-fQl8sp8mnO5VFhMHx3nzxTMI8vyJ7llhQ35z-Rky9LHZ5gHeJnfrHFV8Z29DmAfILsHbi6XPHxrOOMRVKJ5UjnFHjS9AnXSkknBxXkxDZ~35OQZ1gTF-nQODKwjOvYIaVS4PB1ubgxK~QDxbwYaARfuZtB-EBs46BePEfMYohLBfaCCNxx6LUjIhmtaSbLIajfxI6WCsgDuoYxWkcT9xyBnMa9HVx6rahDwHVutxw5JaW6pKul0aPZlvXQIEb--PQKhc1nBuNnCue0pQiyOpUA3UsomWTnZhb1aKLXj1G62jHNKFg__&Key-Pair-Id=KUT5TJCACFTXG","CARSON CITY — The Senate Committee on Revenue and Economic Development heard Senate Bill 412 on a narrow excise tax that applies to bank branches and proponents said the measure will modernize Nevada's tax structure and make it easier for banks to open branches inside the state.

Senator Julie Pizzina, sponsor of SB412, told the committee the state first enacted a bank excise tax during a 2003 special session and it was refined in a 2005 special session. In the hearing she said the bill would repeal the excise tax imposed on bank branches in excess of one branch per county but that a conceptual amendment would instead retain the per‑branch rate while changing the frequency: under the amendment the per‑branch charge would be imposed once per calendar year instead of once per quarter, and the amendment sets an effective date of July 1, 2027.

Paul Meratkin of the Las Vegas Chamber said the tax is narrow and produces only modest general‑fund revenue, and that it disproportionately affects brick‑and‑mortar Nevada banks versus out‑of‑state and online banks. \"The purpose of the bill is threefold: help maintain Nevada's competitive tax structure, reduce a targeted tax in an industry that does not generate much revenue, and help modernize the state's tax structure,\" Meratkin said.

Fiscal staff presented revenue context. According to testimony citing Department of Taxation data, the bank branch excise tax generated roughly $558,000 in the fourth quarter of 2023, or about $2.2 million for fiscal year 2023; fiscal analysis staff estimated the forecast for FY2026–FY2027 at about $2.0 million per year. Under the sponsor's conceptual amendment, moving the per‑branch charge from quarterly to annual collection would reduce receipts by roughly three‑quarters in a full year, fiscal staff said — on the order of about $1.5 million annually in reduced general‑fund revenue when the change takes effect.

Supporters included the Nevada Bankers Association, which said the change could make branch expansion decisions more economically feasible for banks that operate only in Nevada or that evaluate Nevada against neighboring states. Phyllis Gurgevich, president and CEO of the Nevada Bankers Association, told the committee members that banks considering an additional Nevada branch had found it less costly to open in California under current rules.

The Council for Better Nevada testified in support on broader tax‑policy grounds, urging the committee to view SB412 as part of ongoing discussions about modernizing the state's public finance system. Becky Dutra of the Nevada Taxpayers Association testified in neutral, noting the association had not taken an official position but that the bill moves toward tax‑policy goals of equitable treatment.

No opposition testimony was offered at the hearing. Committee members asked technical questions about revenue impact and whether the change would encourage more brick‑and‑mortar branches in underserved or rural counties; witnesses said it could help level the field for smaller local banks.

The bill was presented with a conceptual amendment described on the legislative information system; sponsors and fiscal staff answered committee questions but no vote was taken at the hearing.","Senate Bill 412 would revise the excise tax on bank branches — the sponsor's conceptual amendment would keep the existing per‑branch rate but impose it annually rather than quarterly and delay the effective date — proponents said the tax discourages in‑state branch expansion and generates modest revenue.","actionData","errors"]

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Nevada senators hear bill to create tax credit for donations to graduate medical education

Committee hears bill to change Nevada bank‑branch excise tax, sponsors say change modernizes policy