Sen. Skip Daly

Maddy summarySB 344 requires most health insurance plans, including Medicaid, to cover noninvasive prenatal blood screenings for genetic conditions in fetuses and carrier screenings for genetic disorders in parents, without requiring prior authorization. This applies to all insurers offering health coverage, mandating that these specific screenings be included in policies as standard benefits. The bill removes barriers like prior approval requests that could delay or deny access to these screenings during pregnancy. It directly affects insurers by expanding coverage requirements and benefits patients seeking early detection of genetic conditions.

Maddy summarySB 319 requires Washoe County, Reno, and Sparks to form a study board through a collaborative agreement. This board would examine creating a county-wide fire protection district covering unincorporated areas and city territories within Washoe County. The bill does not establish the district itself but mandates a formal study to assess feasibility and structure. It affects local governments by requiring them to initiate this planning process, with the study board needing approval from all participating entities. The summary focuses solely on the procedural requirement for the study, not on potential outcomes or district operations.

Maddy summarySB 280 appropriates $2.9 million from the State General Fund to the University of Nevada, Las Vegas School of Dental Medicine to create a dedicated cleft and craniofacial medical team. The team must provide dental and medical care to children under 3 years old, and potentially children with special needs aged 3-18, through clinics open at least 4 hours per day, one day monthly (or more if resources allow). The bill requires the team to obtain accreditation from the American Cleft Palate Craniofacial Association and establish partnerships with other Nevada educational institutions. All funds must be spent by September 17, 2027, with unused amounts reverting to the State General Fund. This bill directly affects children in Nevada with cleft lip/palate or craniofacial conditions who would access these new services.

Maddy summarySB 191 updates Nevada's court reporting regulations to include legal video recording as a recognized service. It creates a new certification for "legal video recorders" and expands the definition of "court reporting" to cover video recording of proceedings, requiring both traditional court reporters and video recorders to hold state-issued certifications. The bill mandates that certified court reporters or firms provide transcripts or recordings to third parties upon request (notifying all parties involved) and prohibits individuals with dual certifications from performing both roles simultaneously during the same proceeding. Additionally, it increases compensation for court reporters in district court and establishes specific title usage rules for certified professionals.

Maddy summarySB 201 prevents homeowners' associations and landlords from banning residents from displaying religious or cultural items (like prayer flags or cultural symbols) in their private living spaces, such as on doors or in units. It allows exceptions for displays larger than 36x12 inches, those threatening safety, violating laws, or containing illegal content. Landlords and associations must give 7 days' written notice before temporarily removing displays during repairs, store items respectfully, and return them within 72 hours. This law directly affects renters and homeowners in Nevada common-interest communities and rental properties.

Maddy summarySB 246 requires certain health insurance plans to allow women to access covered gynecological or obstetrical services without first getting a referral from their primary care physician. It applies to health plans covering small employer employees, fraternal benefit societies, managed care organizations, public employee benefits, and Medicaid. The law, effective January 1, 2026, mandates this change by adding a provision to insurance contracts, making any conflicting terms void. It does not permit designating an OB/GYN as a primary care physician. This is a policy change to streamline access to specific reproductive health services under existing coverage.

Maddy summarySB 114 requires landlords managing properties with over 200 dwelling units on a single parcel to implement two key policies: (1) conduct criminal background checks for job applicants who would handle apartment keys, and (2) create written procedures for securely storing, issuing, and tracking all apartment keys. Landlords must also maintain a log of key issuance and return, and provide proof of compliance to the Real Estate Division or law enforcement upon request. This bill directly affects large-property landlords (excluding financial institutions and real estate brokers) by adding specific background check and key management requirements to their operations.

Maddy summarySB 379 regulates solar financing companies that provide loans, leases, or power purchase agreements for residential solar systems (distributed generation systems). It prohibits financiers from charging excessive fees, requires them to verify solar installers hold proper licenses, and mandates clear disclosure of loan terms. Consumers gain extended rescission rights (3 business days for under 60, 10 days for 60+), and financiers cannot disconnect systems for single missed payments. The law also bans deceptive advertising and requires specific recordings for transactions, becoming effective after Governor approval on June 5, 2025.

Maddy summarySB 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.

Maddy summarySB 316 regulates pharmacy benefit managers (PBMs), the companies that manage prescription drug coverage for insurers. It prohibits PBMs from steering patients to affiliated pharmacies, requiring them to disclose fees and rebates to insurers, and mandating that PBMs pass all rebates to insurers. Insurers must then use these rebate funds exclusively to lower premiums or reduce patient cost-sharing for prescriptions, and cannot charge patients more than the insurer pays for a drug. This directly affects PBMs, health insurers, and patients by increasing transparency and reducing out-of-pocket costs.