SB 434 Nevada Senate · 2025 Regular Session

Creates a program to award grants to address shortages of providers of health care. (BDR 40-1107)

SB 434 creates a state grant program to address shortages of health care providers by funding projects in underserved areas and specialties. The program, managed by the Department of Health and Human Services, awards competitive grants to eligible entities (like hospitals, clinics, or nonprofits) that propose solutions to identified shortages, requiring applicants to provide matching funds equal to the grant amount. Funds come from a new account funded by 0.5% annual state revenue transfers (capped at $60 million), with biennial assessments identifying critical shortages. Grantees must submit progress reports and comply with funding agreements, and the state may terminate grants for noncompliance or misuse of funds. This directly affects communities with provider shortages and health care organizations seeking to expand services.

Bill status passed 4 of 5 stages cleared

Introduction

Mar 2025

Committee Review

Jun 2025

Senate Passage

Jun 2025

Assembly Passage

Jun 2025

Governor

Introduced Mar 24, 2025 Last action Jun 3, 2025

Maddy AI version diff · 3 comparisons

What changed between versions

Reprint 2 → Reprint 3 · 6 edits

MODERATE

The bill was updated from the second to third reprint, reflecting amendments adopted on June 2, 2025, instead of May 26, 2025. The legislative text was streamlined by removing redundant language about money transfers into the Account and replacing it with language about transfers out of the Account. The Legislative Counsel's Digest was also updated to clarify that grants are awarded after review, and to add details about grantee reporting requirements and oversight procedures.

Scope change

The bill's scope remains focused on creating a grant program to address health care provider shortages, but the language was refined to better describe the grant award process and oversight mechanisms.

TECHNICAL

Updated reprint date from May 26, 2025 to June 2, 2025 and changed from Second Reprint to Third Reprint.

SCOPE

Removed language about transfers of money into the Account and replaced it with language about transfers out of the Account in the summary of the bill.

REQUIREMENT

Added requirements for grantees to submit revised plans when projects are significantly modified, funding changes, projects become inactive, or projects are terminated.

Added requirements for grantees to submit reports upon project completion and again 10 years after completion.

Clarified that the Department reviews applications and, with approval, awards grants rather than just reviewing them.

ENFORCEMENT

Added provisions authorizing the Department to suspend or terminate grants if grantees fail to comply with agreements, violate law, misuse funds, or submit fraudulent information.

Floor votes · Assembly Jun 2, 2025

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Jun 2, 2025

Upper · Passed

Taken from Chief Clerk's desk. Placed on General File. Read third time. Amended. (Amend. No. 972.) Dispensed with reprinting. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To printer. From printer. To reengrossment. Reengrossed. Third reprint. To Senate. In Senate. Assembly Amendment No. 972 not concurred in. To Assembly. In Assembly.

upper

Jun 1, 2025

Upper · Passed

From committee: Do pass. Placed on Second Reading File. Read second time. Taken from General File. Placed on Chief Clerk's desk.

upper

May 26, 2025

Upper · Passed

From committee: Amend, and do pass as amended. Placed on General File. Read third time. Amended. (Amend. No. 726.) Reprinting dispensed with. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 18, Nays: 2, Excused: 1.) To printer.

upper

Apr 24, 2025

Upper · Passed

From printer. To engrossment. Engrossed. First reprint. To committee.

upper

Apr 21, 2025

Upper · Passed

From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 468.) Notice of eligibility for exemption. Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.

upper

Mar 26, 2025

Upper · Passed

From printer. To committee.

upper

1 primary · 0 co-sponsors