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SB 495 Nevada Senate · 2025 Regular Session

Revises provisions relating to health care. (BDR 40-1037)

SB 495 requires Nevada's health department to conduct a biennial assessment of healthcare workforce needs, identifying shortages in professions, services, and geographic areas. It prohibits healthcare providers from charging patients fees to access their electronic health records within 7 business days and limits electronic health record requirements to certain high-level providers (like doctors and nurses) and medical facilities. The bill also updates licensing rules for independent emergency medical centers, banning fees for licenses, restricting new centers within 5 miles of existing ones, and mandating standardized reporting on their operations. These changes directly affect healthcare providers, patients seeking records, and emergency care facilities operating under new licensing standards.
Issues: ✓ HealthcareSupports HealthcareProhibits fees for patient EHR access (improving access) and mandates biennial workforce assessments to address shortages, strengthening patient rights and system planning.90% confidence
Bill status passed 3 of 5 stages cleared
Introduction
May 2025
Committee Review
May 2025
Senate Passage
Jun 2025
Assembly Passage
Governor
Introduced May 15, 2025 Last action Jun 3, 2025
Maddy AI version diff · 1 comparison

What changed between versions

As Introduced → Reprint 1 · 4 edits
MODERATE
The bill was reprinted with amendments that significantly revised its scope and priorities. The most notable change is the removal of the competitive funding program for health care provider shortages, which was replaced with a focus on electronic health information exchange requirements. The unfunded mandate section was also updated to reflect new section numbers, and the legislative digest was rewritten to describe the new electronic health records provisions instead of the deleted funding program.
Scope change
The bill's scope shifted from establishing a competitive funding program to address health care provider shortages to primarily focusing on electronic health information maintenance, transmittal, and exchange requirements, along with other health care revisions.
FISCAL

The Nevada Health Care Workforce and Access Program, a competitive funding program to address health care provider shortages, was removed from the bill.

REQUIREMENT

New requirements were added for the electronic maintenance, transmittal, and exchange of health information, including provisions prohibiting fees for electronic health records and setting timeframes for furnishing records to patients.

ELIGIBILITY

The definition of health care workforce needs was expanded to include health care professions, specialties, types of clinical services, and expertise, not just provider shortages.

TECHNICAL

The unfunded mandate section was updated to reference new section numbers (72.8 instead of 43, 44), and the bill title was updated to reflect the new focus on electronic health information.

Floor votes

How they voted

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

Actions timeline

Total actions
7
Key actions
3
Committee
2
Jun 2, 2025
Upper · Passed
Taken from General File. Placed on Secretary's desk. Taken from Secretary's desk. Placed on General File. Read third time. Amended. (Amend. No. 942.) Reprinting dispensed with. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 13, Nays: 8.) To printer. From printer. To engrossment. Engrossed. First reprint. To Assembly.
upper
May 30, 2025
Upper · Passed
From committee: Do pass. Placed on Second Reading File. Read second time.
upper
May 16, 2025
Upper · Passed
From printer. To committee.
upper
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.