Committee hears bill to set 90-day deadline for Medicaid provider appeals

The Senate Committee on Health and Human Services heard Assembly Bill 36 at a committee hearing in Carson City and by remote connection. Assembly Bill 36 would limit the time Medicaid providers have to request administrative hearings after a notice of action to 90 days and would permit certain hearing regulations to apply prospectively on or after Jan. 1, 2026.

Nevada Medicaid Administrator Stacy Weeks told the committee the bill reflects recommendations from the Attorney General’s Office and would place the appeal deadline in statute to prevent providers from bringing appeals “many years later,” which she said can affect the agency’s budget and program. Weeks said, “In front of you today, you have Assembly Bill 36.” She also said the change “allows us to apply some of our regulations that are adopted, prospectively, around hearings on or after 01/01/2026.”

Sen. Dina Titus asked whether the hearings covered only disputed payments; Weeks said appeals could also concern coverage denials, not just payment disputes. Titus pressed for clarity on when the 90-day period begins given that providers sometimes wait months to receive reimbursement; Weeks answered that the clock would run from the notice of action. Sen. Roberta Sung asked about exceptions and Weeks said the division could waive the deadline in “excruciating circumstances,” giving examples such as a lost notice or a pandemic-related disruption.

No individuals registered to testify in support, opposition or neutral capacity in person or online, and the committee did not take a recorded vote on the bill at the hearing. Weeks closed her remarks by thanking the committee for considering the bills.

The record shows a committee-level hearing and discussion; no committee action (motion or vote to advance the bill) was recorded in the transcript.