Rep. Elaine Marzola

Maddy summaryAB 428 requires most health insurance plans in Nevada to cover fertility preservation services for individuals diagnosed with breast or ovarian cancer who face infertility from the cancer or its treatment. This coverage must include medically necessary procedures as defined by established medical guidelines, such as egg or sperm freezing before cancer treatment begins. Insurers affiliated with religious organizations may exclude this coverage if they provide written notice to insureds about the exemption. The law applies to private health plans, Medicaid, and state/local government employee health insurance, with enforcement by the Insurance Commissioner for non-compliance.

Maddy summarySB 262 transfers administration of Nevada’s Graduate Medical Education Grant Program from the Office of Science to the Department of Health and Human Services (DHS). It requires medical institutions receiving grants to obtain DHS approval before eliminating or reducing residency training programs, with criteria including demonstrating reduced patient need and no negative impact on healthcare provider availability. The bill expands grant eligibility to include programs exceeding Medicare-funded resident slots and allows DHS to provide limited grants for new program development and staffing. It also directs DHS to explore using Medicaid funding to support residency programs, effective as of its passage and signing into law on June 10, 2025.

Maddy summaryAB 381 updates Nevada's animal cruelty laws to better address neglect and abuse. It revises definitions to include passive inaction (like failing to stop abuse when aware) as cruelty, and removes the exception that previously exempted agricultural land from cruelty investigations. The bill increases penalties for cruelty, raising police animal assault to a category B felony if the animal is disabled or killed, and changes procedures for impounded animals during arrests by requiring forfeiture to local governments instead of auction. These changes directly affect animal owners, law enforcement, courts, and shelters handling cruelty cases.

Maddy summaryAB 344 updates Nevada law by replacing the term "master" with "judicial officer" for court-appointed officials handling family law, juvenile justice, and traffic cases. This change affects judges, courts, and existing court-appointed staff who currently hold the title "master," ensuring all duties, privileges, and protections remain unchanged. The bill also adds procedural requirements for transferring child welfare cases between Nevada courts (requiring joint hearings and child welfare assessments) and adjusts attorney compensation rates for child welfare cases to match felony representation standards. These changes are primarily terminological and procedural, with no substantive shifts to case handling or legal rights.

Maddy summaryAB 230 creates Nevada's participation in the Audiology and Speech-Language Pathology Interstate Compact, allowing licensed professionals from other compact states to practice in Nevada under the same conditions as Nevada-licensed providers. It requires practitioners to hold an active license in their home state, have no recent disciplinary actions, and notify the Compact Commission, while also enabling telehealth practice across member states. The bill modifies Nevada's confidentiality rules to permit sharing of complaint information with the Compact's data system, and deems practice under the Compact equivalent to holding a Nevada license for legal authority and protections. This primarily affects audiologists and speech-language pathologists seeking cross-state practice opportunities.

Maddy summarySB 263 expands Nevada's laws against child pornography to explicitly include computer-generated images and videos depicting minors in sexual situations. It makes creating, distributing, or possessing such computer-generated content a felony, with stricter penalties for repeat offenses (minimum 10-year prison term for second offenses). The bill also clarifies that possessing the same material cannot be charged under both this law and the existing possession statute, and requires anyone convicted under these provisions to register as a sex offender. The law, approved by the Governor on June 6, 2025, applies directly to individuals who produce, share, or keep such digital content.

Maddy summaryAB 450 changes Nevada's licensing process for marriage and family therapists and clinical professional counselors moving from other states. It requires the licensing board to automatically issue endorsement licenses to qualified applicants (who hold valid licenses elsewhere), replacing the previous "may" with a mandatory "shall." The bill removes the requirement for applicants to prove they've never been investigated by another state's licensing board - only that they haven't been disciplined. This directly affects out-of-state therapists seeking to practice in Nevada without retaking exams.

Maddy summaryAB 289 authorizes Nevada's Board of Regents to establish a required financial literacy course within the Nevada System of Higher Education, which includes the University of Nevada. This bill directly affects public universities in Nevada by giving the Board of Regents the authority to create such a course of study. The key provision adds language to Nevada law allowing the Board to prescribe financial literacy as part of the curriculum. The bill was signed into law by the Governor on June 5, 2025, and became Chapter 284.

Maddy summaryAB 106 ratifies Nevada’s participation in the Occupational Therapy Licensure Compact, enabling licensed occupational therapists and assistants from compact member states to practice in Nevada without obtaining a separate Nevada license. The bill requires practitioners to maintain an active license in their home state, pass background checks, pay fees, and meet other conditions to practice across member states. It establishes the Occupational Therapy Compact Commission to manage the compact, share disciplinary information via a secure data system, and resolve disputes between member states. This change directly affects therapists seeking multi-state practice, particularly those relocating for military service or to expand their services, while preserving Nevada’s regulatory authority over practice standards. The compact treats practice under the agreement as equivalent to holding a Nevada-issued license, granting the same legal protections and duties.

Maddy summaryAB 143 creates the Dentist and Dental Hygienist Compact, allowing dentists and dental hygienists licensed in Nevada to practice in other participating states without obtaining separate licenses. To qualify, practitioners must hold an active license in a participating state, pass state-specific exams, report disciplinary actions within 30 days, and meet education/examination requirements. The compact establishes a shared data system for states to exchange disciplinary records and requires Nevada’s Board of Dental Examiners to share relevant information with this system. Practitioners using the compact will have the same legal authority and protections as locally licensed professionals in Nevada. The bill does not change Nevada’s existing licensing rules but enables cross-state practice through this multi-state agreement.