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Senate panel advances amended health care bill after updated fiscal estimates; some members oppose the amendment
Summary
Senate Bill 378, a health‑care measure that drew support from major resort and industry groups and opposition from hospitals, was advanced with a conceptual amendment and updated Medicaid cost estimates; several senators voted no on the committee motion.
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Senate Bill 378, a health‑care measure that received support from several Nevada resort and hospitality industry groups and opposition from multiple hospital systems, was advanced by the Senate Finance Committee after discussion of a conceptual amendment and updated fiscal estimates from Nevada Medicaid.
Wayne Thortley of LCB summarized that the bill was presented by Senator Donate and drew support from MGM Resorts, Caesars Entertainment, Nevada Resort Association and MD Squared. Opposition came from hospital systems including the Nevada Hospital Association, HCA Healthcare, Dignity Health Saint Rose Dominican, Renown Health and Intermountain Health. A conceptual amendment offered during the hearing prompted Nevada Medicaid to supply updated cost projections.
LCB fiscal staff reported a general‑fund impact of approximately $291,000 in FY27 under the conceptual amendment; that estimate included authorizing federal matching funds where applicable. The Division of Public and Behavioral Health submitted a fiscal note affecting primarily federal funds and license-fee accounts and reported minimal state general‑fund exposure.
Senator James Titus said he could not support the amendment because of the fiscal effect. The committee nevertheless voted to adopt the conceptual amendment and recommend passage as amended; Senators Titus, Stone and Buck recorded no votes on the motion.
Votes at work session: Committee adopted the conceptual amendment and passed SB378 as amended; Senators Titus, Stone and Buck voted no.

