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AB 36 Nevada Assembly · 2025 Regular Session

Revises provisions relating to Medicaid. (BDR 38-291)

AB 36 revises Medicaid hearing procedures for service providers (like hospitals or clinics) who face actions from the state. It requires providers to request hearings within 90 days of receiving notice, unless the Division of Health Care Financing determines "extenuating circumstances" justify a later request. The bill mandates the Division to create new regulations defining which actions qualify for hearings and what qualifies as extenuating circumstances. These changes apply only to hearings requested on or after January 1, 2026, and do not affect cases filed before that date.
Bill status signed all 5 stages cleared
Introduction
Nov 2024
Committee Review
May 2025
Assembly Passage
May 2025
Senate Passage
May 2025
Signed into Law
May 2025
Introduced Nov 15, 2024 Signed May 28, 2025
Maddy AI version diff · 1 comparison

What changed between versions

As Introduced → As Enrolled · 5 edits · May 28, 2025
MODERATE
This bill amends Nevada's Medicaid hearing procedures to clarify timelines and requirements for providers requesting hearings when facing actions by the Division of Health Care Financing and Policy. The changes add specific regulations the Division must adopt regarding hearing procedures, define extenuating circumstances that allow late hearing requests, and establish judicial review processes. The bill also sets a prospective effective date of January 1, 2026, for these new requirements.
Scope change
The bill's scope remains focused on Medicaid provider hearings, but it adds new regulatory requirements and clarifies the timeline for requesting hearings and appealing decisions.
REQUIREMENT

Added requirement for the Division to adopt regulations specifying hearing procedures, actions that allow hearing requests, and circumstances that qualify as extenuating for late requests.

TIMELINE

Maintained the 90-day deadline for requesting hearings but added an exception for extenuating circumstances that the Division must define through regulation.

Set January 1, 2026 as the effective date for the new hearing requirements, allowing time for rulemaking and administrative preparation.

ENFORCEMENT

Added detailed judicial review procedures including specific timeframes for filing appeals, serving parties, and court review timelines.

TECHNICAL

Reformatted the bill text from draft version to enrolled version, including proper chapter designation and session information.

Floor votes · Senate May 21, 2025 · Assembly Apr 10, 2025

How they voted

20–0
Passed
Total votes 20
May 21, 2025
D Democratic12
12 Yea
100% Yea
R Republican8
8 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
18
Key actions
6
Committee
2
May 28, 2025
Signed into law
Approved by the Governor. Chapter 66.
executive
May 22, 2025
Lower · Passed
In Assembly. To enrollment.
lower
May 21, 2025
Upper · Passed
Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.
upper
May 16, 2025
Upper · Passed
From committee: Do pass.
upper
Apr 10, 2025
Lower · Passed
Read third time. Passed. Title approved. (Yeas: 41, Nays: None, Excused: 1.) To Senate.
lower
Mar 25, 2025
Lower · Passed
From committee: Do pass.
lower
Nov 15, 2024
Introduced
Prefiled. Referred to Committee on Health and Human Services. To printer.
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.