Senate Bill 494, which creates the Nevada Health Authority (NHA) as a new executive department to consolidate Medicaid and other public-health responsibilities, passed the Nevada Senate by a vote of 21-0 on May 29, 2025.

Senator Titus outlined the bill for the Senate, saying SB 494 “creates the Nevada Health Authority as a new executive department to assume many responsibilities of the Department of Health and Human Services, now renamed the Department of Human Services and certain other entities.” She said the proposed NHA would oversee Medicaid, the children’s health insurance program, public health insurance purchasing and compliance, health care licensing and regulation, sanitation enforcement, and related programs and databases. The bill, as described on the floor, creates three divisions: Medicaid; health care purchasing and compliance; and consumer health, and consolidates functions from multiple existing state entities, including the Silver State Health Insurance Exchange and the Patient Protection Commission.

Earlier in the floor sequence, Senator DeNate introduced amendment 9-20, which Senator Donate moved to adopt. Donate summarized the amendment as making two changes to educational degree requirements for the director and allowing tribal communities to make determinations for Medicaid; the amendment also “accepts the provisions as submitted by the governor's office,” according to Donate. The Senate adopted the amendment by voice vote; there were no recorded no votes against adoption of the amendment on the floor.

After amendment adoption, the Senate gave final consideration to SB 494. The clerk announced 21 yes votes and zero no votes; the measure received the constitutional majority and was declared passed and ordered to the Assembly.

The transcript includes floor descriptions of the bill's structure and responsibilities but does not include the full statutory text or detailed implementation timelines beyond the statutory creation and general responsibilities described on the floor.