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Panel hears bill to end collection of NDOC medical debt after release

Senate Finance Committee · May 16, 2025
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Summary

Senate Bill 88 would prohibit post‑release collection of medical debts assessed to individuals who received off‑campus medical care while incarcerated, removing a barrier advocates say impedes reentry.

Senate Bill 88 would stop the practice of pursuing medical debts assessed to incarcerated people after release from the Nevada Department of Corrections (NDOC). Sen. Melanie Scheibel said NDOC currently pays in full for outside medical services, then adds the cost to an individual’s account and pursues collections after release, often unsuccessfully and at administrative expense.

Why it matters: Supporters said these medical debts make successful reentry more difficult by damaging credit, limiting housing and vehicle access, and contributing to recidivism risks. Nick Shipack (Fines & Fees Justice Center) testified that NDOC reported roughly $12 million of outstanding debt and collection rates that return only pennies on the dollar; the department may spend thousands pursuing small returns.

Support and neutrality: Return Strong and other advocates called for elimination of the debt to reduce reentry barriers. Callers and members of advocacy organizations offered support. Dr. Ken Williams (NDOC medical director) testified the department was neutral on the bill. Sponsors emphasized the debt is repaid to the inmate welfare fund (commissary, phone/tablet revenue) and does not come from the general fund.

Status: Committee took testimony and questions; no committee final passage vote was recorded during this hearing.