Nevada Senate approves wide package of Assembly bills on health, education and appropriations

CARSON CITY — The Nevada Senate on June 2, 2025 voted to pass a broad package of Assembly bills that address health-care coverage, Medicaid reimbursement, education reporting and several appropriations, and ordered the measures returned to the Assembly for enrollment or further action.

The measures passed with varying margins, and several were adopted with Senate committee amendments before final roll-call votes. Key items included an increase in a public employees benefits allocation, Medicaid and medical-device reimbursement changes, appropriations for eviction diversion programs and the University of Nevada, Las Vegas, and statutory changes affecting education and licensing.

Votes at a glance

AB 169 — Revises provisions relating to health insurance. Presented on the floor by Senator Donate. Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 188 — Revises provisions relating to the Public Employees’ Benefits Program; Senate amendment 980 makes a state general fund appropriation of $2,000,000 in fiscal year 2027 to the Public Employees’ Benefits Program and increases a listed amount from $13 to $14. Motion to adopt amendment made by Senator Dondero Lupo. Vote on final: 15 yes, 5 no. Outcome: Passed and ordered to the Assembly.

AB 204 — Revises provisions relating to medical debt. Presented on the floor by Senator Donati. Vote: 12 yes, 8 no. Outcome: Passed and ordered to the Assembly.

AB 234 — Requires Medicaid coverage for screening for certain cancers. Presented by Senator Donate. Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 284 — Requires the Medicaid director to seek federal authority to set certain reimbursement rates for devices to treat epilepsy; Senate amendment 984 was adopted on the floor. Senator Dondero Lupo described the amendment as eliminating a specified reimbursement subsection. On the floor Senator Dondero Lupo said, "amendment 9 84 to assembly bill 2 84 is eliminates section 2 1 c to reimbursement requirements." Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly. The amended bill directs Medicaid to request, on or before Oct. 1, 2025, federal authority for reimbursement rates not less than 82% of cost for a vagus nerve stimulation device (as stated on the floor).

AB 304 — Establishes notification and reporting requirements for pilot programs researching transcranial magnetic stimulation or electromagnetic brain-pulse treatment. Presented by Senator Pizzina. Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 328 — Creates the Juneteenth Educational Economic Commission within the Department of Tourism and Cultural Affairs and a subcommittee to study related education and policy matters. Presented by Senator Neal. Vote: 13 yes, 7 no. Outcome: Passed and ordered to the Assembly.

AB 331 (AB 3 31) — Appropriates funds to the Division of Public and Behavioral Health for a grant program to expand the Youth Risk Behavior Surveillance System survey; amendment reported an appropriation of $220,000 in each year of the biennium. Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 345 — Revises provisions relating to education and directs the Board of Regents to establish and maintain a data dashboard for the Nevada System of Higher Education. Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 388 — Establishes paid family leave provisions for certain state and private employees (as described on the floor). Vote: 11 yes, 9 no. Outcome: Passed and ordered to the Assembly.

AB 397 — Expands fee-waiver eligibility for Native American students and others in the Nevada System of Higher Education; Senate amendment 996 added a co-sponsor and clarified waiver eligibility. Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 428 — Requires health plans (including Medicaid and state/local government plans) to cover fertility preservation services that are medically necessary consistent with established medical practice or ASRM guidelines. Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 442 — Revises grant-payment timelines for state grantmaking (requires payment within 30 days when a payment is due). Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 460 — Revises provisions related to child welfare. Vote: 16 yes, 4 no. Outcome: Passed and ordered to the Assembly.

AB 463 — Revises provisions relating to prior authorization in health care. Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 467 — Revises provisions relating to forensic mental health. Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 472 — Revises provisions relating to educational personnel (contract/fee limits for certain teacher exchange program recruiters); effective dates and transition rules were stated on the floor. Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 475 — Appropriates general fund money ($21,000,000 over the 2025–27 biennium) to Clark County, the city of Reno and the Nevada Rural Housing Authority for eviction diversion programs; the bill was described as amended on the floor. Vote: 19 yes, 1 no. Outcome: Passed and ordered to the Assembly.

AB 476 — Makes a general fund appropriation of $1,000,000 over the 2025–27 biennium to the University of Nevada, Las Vegas to support pro bono legal services and experiential legal education at the William S. Boyd School of Law. Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 479 — Revises taxation provisions for agricultural real property (includes agrivoltaics). Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 483 — Requires priority review processes for certain health-profession licensure applications for historically underserved communities. Senator Titus rose in opposition on the floor, saying the bill “fails to address the critical health care needs in Nevada's rural communities” and that by focusing on urban census tracts and tribal lands the bill "neglects a significant portion of the state population that needs improved access to health services." Vote: 14 yes, 6 no. Outcome: Passed and ordered to the Assembly.

AB 494 — As amended (amendment 936) revises reporting requirements and gives authority to adopt certain regulations for the Department of Health and Human Services; vote: 15 yes, 5 no. Outcome: Passed and ordered to the Assembly.

AB 504 — Establishes trade-practice rules for sale or offer to sell certain hemp products intended for human consumption; one senator disclosed an abstention on the floor (wife appointed to Cannabis Compliance Board) and abstained as advised by legislative counsel. Vote recorded: 19 yes, 0 no, 1 abstention. Outcome: Passed and ordered to the Assembly.

AB 514 — Revises provisions relating to mental health care. Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 515 — Revises provisions relating to adoption assistance programs; amendment 985 clarified appropriations and unspent amounts. Vote: 20 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 600 — Revises provisions related to legislative affairs. Vote: 21 yes, 0 no. Outcome: Passed and ordered to the Assembly.

AB 93 — Expands the definition of police officer and includes general fund appropriations (figure stated on the floor as 11,364 — transcript did not specify units). Vote: 20 yes, 1 no. Outcome: Passed and ordered to the Assembly.

Floor procedure and other actions

Several bills were considered with committee amendments and were adopted on the floor before final roll calls. The Senate also voted to concur in assembly amendments to multiple Senate bills (for example, SB7, SB20, SB226, SB426, SB432 and the conference report and amendment for SB352) and ordered those actions to be transmitted to the Assembly. The Senate recessed after the business listed above.

Why it matters

The package includes policy changes that affect state health-care coverage and Medicaid reimbursement, statutory changes for education reporting and licensure, and multiple appropriations that direct state general fund dollars to local eviction-prevention programs and to university legal-education efforts. The measures moved forward by the Senate now return to the Assembly for enrollment, enrollment amendments or final administrative processing.

Ending

The Senate concluded action on the listed bills and recessed to the call of the chair after ordering enrolled bills and notifying the Assembly of its actions.