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Bill seeks Medicaid coverage for vagus nerve stimulation replacement and repair
Summary
Assembly Bill 284 would add reimbursement for vagus nerve stimulation device replacement or repair for treatment‑resistant epilepsy to Nevada’s Medicaid state plan; sponsor said updated fiscal estimates show modest state general‑fund exposure with majority federal match.
Assemblywoman Tracy Brown‑May presented Assembly Bill 284 to the Senate Finance Committee seeking to restore coverage in Nevada’s Medicaid state plan for procedures necessary to implant or replace parts of vagus nerve stimulation devices used in medication‑resistant epilepsy.
Brown‑May said the device was previously covered but removed during budget cuts; the Medicaid division proposed an amendment and provided updated fiscal estimates showing an estimated $54,728 in new state general‑fund costs for FY 2026 and $240,000 for FY 2027, with additional Title XIX (federal) expenditures projected for the FY26–27 biennium. The sponsor said the state share is minimal compared with federal matching funds.
The sponsor offered to stand for questions; no callers on the public line testified for or against the bill in the recorded hearing. No committee vote appears in the transcript.
