SB 373 requires Clark County (the only Nevada county with over 700,000 residents) and all incorporated cities within it to create a unified multi-jurisdictional business license system. It mandates that county commissioners and city governing bodies adopt ordinances establishing license categories, revenue-sharing, and a system for issuing licenses that replaces separate county and city permits for specified businesses. The law requires jurisdictions to coordinate agreements ensuring existing fees, renewal periods, and regulatory requirements for businesses are similar before creating the unified license. The system must integrate with Nevada’s state business portal, streamlining applications for businesses operating across multiple local jurisdictions in Clark County. The bill passed unanimously and became law on June 5, 2025.
AB 593 appropriates $53.4 million from the State General Fund and $12.5 million from the State Highway Fund to the Interim Finance Committee. The funds are specifically for the Office of Finance in the Governor's office to cover costs of implementing an enterprise resource planning (ERP) software system. The bill requires all funds to be spent by June 30, 2027, with any unspent balances reverting to their original funds by September 17, 2027. This is a funding measure, not a policy change, directly affecting the Office of Finance's budget for system implementation.
SB 69 revises tax abatement rules for businesses in Nevada, primarily affecting large economic development projects (like data centers or $1 billion+ investments) seeking tax benefits. It requires data center applicants to disclose colocated business usage and taxable property details confidentially during audits, and mandates that project leads sign agreements with local governments to fund services (e.g., infrastructure) in economic diversification districts. The bill also specifies that agreements and related communications must remain confidential, not public records, and tightens timing rules for when tax abatements become effective. These changes aim to ensure local governments receive funding for services tied to major projects while protecting sensitive business data.
SB 187 requires child welfare agencies to make decisions about non-emergency medical or mental health care for children in their custody within 14 days of receiving a provider's recommendation. The bill mandates agencies to seek consent from required parties (such as parents or courts) within this timeframe and immediately notify the child's placement location about all decisions. It directly affects children under child welfare custody who need medical treatment. The law establishes clear deadlines to prevent delays in accessing necessary care while maintaining required consent processes.
SB 329 requires ambulance attendants, firefighters, emergency medical technicians (EMTs), paramedics, and peace officers to complete training on identifying and interacting with people experiencing dementia or other cognitive impairments. New applicants must finish this training before receiving their license or certification, and current license holders must provide proof of completion by October 1, 2026. The bill clarifies that completing this training does not change the legal standard of care or increase the duty of these first responders. This policy aims to improve emergency response interactions with vulnerable individuals, particularly elderly people or those with cognitive challenges.
SB 389 requires Nevada's Department of Health and Human Services to select a single state pharmacy benefit manager (SPBM) by January 1, 2030, to manage prescription drug coverage for Medicaid, the Children’s Health Insurance Program (CHIP), and other health plans using Medicaid’s formulary. The bill mandates reimbursement rates based on the "Nevada Average Acquisition Cost" (NAAC), which uses actual drug acquisition costs to maximize state savings, and requires Medicaid managed care organizations to contract with the SPBM and disclose pharmacy spending data. It also sets strict criteria for SPBM selection, prohibits conflicts of interest, and requires Department approval for all pharmacy contracts under the SPBM.
AB 461 updates California’s health care decision-making laws by adopting remaining provisions of the Uniform Health-Care Decisions Act. It clarifies who can make health care decisions (including capacity standards), establishes priority for default surrogates if no agent is named, and allows separate mental health care directives. The bill requires health care providers to follow advance directives, validates electronic signatures for these documents, and ensures directives created in other states are recognized. This directly affects adults creating health care plans, their appointed agents, and health care providers managing care decisions.
SB 348 establishes a $150 fee for required genetic testing of infants (with annual inflation adjustments) at the State Public Health Laboratory, directly affecting hospitals and health providers who perform these tests. It creates a new licensing system for genetic counselors through the Board of Medical Examiners, requiring education, exams, and certification, while exempting physicians and federal employees from this licensing. The bill also mandates Medicaid coverage for genetic counseling services and outlines disciplinary procedures for unlicensed practice or misconduct. These changes primarily impact genetic counselors, healthcare providers, Medicaid patients, and the State Public Health Laboratory.
SB 312 requires Nevada's Department of Health and Human Services to seek federal approval allowing tribal health coordinators to determine Medicaid eligibility for American Indians, Alaska Natives, and Native Hawaiians. It creates the Tribal Health Authority Council to develop a plan improving health care access and removing barriers for these communities, with the Council funded through a new Account for Tribal Health. The bill mandates collaboration between the Department of Health and Human Services, the Council, and tribal health clinics to ensure coordinators have necessary resources for eligibility determinations. This directly affects tribal communities and tribal health clinics by streamlining Medicaid access while maintaining existing state Medicaid administration.
AB 511 changes Nevada insurance law to require that healthcare providers (such as chiropractors, acupuncturists, psychologists, therapists, social workers, and podiatrists) receive direct reimbursement for covered services, rather than the insured person. The bill updates specific Nevada Revised Statutes (NRS) sections to clarify that the licensed provider who delivered the treatment - not the patient - is entitled to reimbursement under insurance policies covering these services. This applies to policies covering treatments within the authorized scope of practice for these licensed professionals. The change does not create new coverage requirements or affect state/local government funding.
AB 420 requires school districts in Clark County (population 700,000+) to report incidents where school police use chemical agents or electronic stun devices on students or minors to the school board. The school board must then investigate, determine if the use was justified, and publicly share a summary of the report and findings at least 30 days before an election. The bill also creates a Voter Access Grant Program, providing state funds from a new account to counties, cities, and tribal governments to improve election administration and voter access. These provisions directly affect Clark County schools and local election offices through new reporting requirements and funding mechanisms.
AB 165 establishes the Outdoor Education Council within Nevada's State Department of Conservation and Natural Resources to develop standards for outdoor education programs. The Council will award designations to public schools meeting these standards, providing each school with a monetary award to support their outdoor education initiatives. It will also recognize one teacher annually as "Outdoor Educator of the Year" with a nonmonetary award. The Council, composed of education, wildlife, school district, and nature-based provider representatives, will set the standards and administer these programs.
