Maddy summaryAB 463 revises California health insurance rules for prior authorization, directly affecting insurers (including Medicaid, CHIP, and public employee plans), healthcare providers, and patients. It requires insurers to approve or deny non-urgent care requests within 48 hours and urgent care within 24 hours, mandates physician/dentist reviews for denials, and prohibits prior authorization for emergency services, preventive care, and certain chronic treatments. The bill also bans insurers from denying coverage due to missing prior authorization if it wasn’t required for that care at the time, and requires clear online disclosure of authorization procedures. Insurers must honor prior authorizations for up to 12 months (or longer for chronic conditions) and pay full rates for approved services.
Sponsored bills
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 462 revises economic development laws to expand the Inland Port Authority Act to include industrial parks, allowing counties and cities to create tax increment areas within these zones. This enables municipalities to use future tax revenue from designated areas to fund infrastructure projects through bond issuance, without being subject to certain tax revenue limits. The bill also requires large school districts (like Clark County) to offer career pathways programs at all high schools with 250+ students, including dual credit courses in education subjects and career exploration in middle/junior high schools. Additionally, it creates a Career Pathways Oversight Committee and mandates full-time coordinators for these programs at high schools offering them. The bill directly affects local governments managing industrial parks and school districts implementing career education programs.
Maddy summaryAB 396 requires Clark County, Washoe County, and cities with populations over 60,000 (Las Vegas, Henderson, North Las Vegas, Reno, and Sparks) to adopt an ordinance by January 1, 2026, allowing accessory dwelling units (ADUs) on residential properties. If these local governments fail to adopt such an ordinance, ADUs can be built on any residentially zoned parcel without local restrictions. The required ordinance must include an expedited approval process and cannot impose conditions like minimum lot sizes or setbacks. The bill also updates common-interest community rules, including requiring insurance proof in resale packages and increasing fines for violations from $1,000 to $5,000.
Maddy summaryAB 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.
Maddy summaryAB 308 modifies Nevada's cannabis registration card system for business owners and officers. It waives the requirement for owners with 5% or more stake to obtain a registration card, while increasing the fee for these cards from $150 to $400. The bill also changes renewal rules (two-year terms with no annual affidavit) and creates two card categories: one for general cannabis businesses and another specifically for testing laboratories. These changes directly affect cannabis establishment owners, officers, board members, and employees who hold or seek registration cards.
Maddy summaryAB 268 appropriates $43 million annually for fiscal years 2025-26 and 2026-27 from the State General Fund to the State Department of Agriculture. This funding directly enables Nevada school districts to provide universal free breakfast and lunch to all Nevada pupils. The bill requires school districts to spend the funds by specific deadlines (September 18, 2026, and September 17, 2027) or return unused portions to the State General Fund. It becomes effective July 1, 2025, and establishes a concrete funding mechanism for school meal programs.
Maddy summaryAB 369 updates Nevada law to improve enforcement of out-of-state domestic violence protection orders. It expands the evidence law enforcement can use to verify such orders - allowing hard copies, digital images, and statements from both the protected person and the respondent - and requires officers to notify respondents and attempt service if they cannot confirm the order was properly delivered. This affects Nevada law enforcement officers, domestic violence victims, and alleged abusers when enforcing orders from other states, territories, or tribes. The bill ensures consistency with Nevada’s own protection order enforcement procedures while adding safeguards for due process. It does not change the requirement that out-of-state orders must be valid under their issuing jurisdiction’s laws.
Maddy summaryAB 191 authorizes collective bargaining for professional employees of state professional employers (such as the Board of Regents of the University of Nevada with 400+ professional staff) who are in unclassified service or paid outside standard classified pay plans. It establishes new procedures for recognizing professional organizations as exclusive bargaining representatives, requires state employers to negotiate within 60 days of notice, and allows salary deductions for union dues. The bill also grants professional employees the right to representation during disciplinary actions and mandates annual reporting to the Government Employee-Management Relations Board. This directly affects state professional employers and their employees, creating a structured framework for collective bargaining previously limited to other state employee groups.
Maddy summaryAB 144 changes Nevada's official observance of "Indigenous Peoples Day" from August 9 to the second Monday in October each year. It requires the Governor to issue an annual proclamation encouraging observance, specifically directing media, schools, and organizations to acknowledge Indigenous contributions, promote educational awareness of their culture, and support land stewardship activities. The bill affects state government actions and public institutions through this mandated observance. The proclamation must call for recognizing Indigenous history and fostering community engagement with cultural preservation.