Maddy summaryAB 290 revises prior authorization rules for health and dental insurance coverage, affecting all health insurers (including Medicaid and CHIP plans) and the patients and providers who rely on them. It requires insurers to publicly list covered services needing authorization and their clinical criteria, shorten response times (48 hours for urgent care, 7 days for routine care), and prohibit denying claims if prior authorization wasn't required at the time of service. The bill also mandates disclosure of AI use in processing requests, requires physician review for denials, and bans prior authorization for emergency care. These changes aim to increase transparency, reduce delays, and protect patients from unnecessary coverage denials.
Sponsored bills
Maddy summaryAB 83 designates October 25 as "Larry Itliong Day" in Nevada, requiring the Governor to annually declare this date each year. The bill directs the Governor to call on media, educators, and community leaders to highlight Larry Itliong’s contributions to labor rights and the Filipino-American community. This is a ceremonial observance with no new policies or fiscal impact, recognizing Itliong’s role as a co-founder of the United Farm Workers union and his work in the 1965 Delano Grape Strike.
Maddy summarySB 244 requires Nevada's Medicaid program to cover specific obesity treatments and diabetes prevention services. It mandates coverage for intensive behavioral/lifestyle programs and certain obesity surgeries meeting medical guidelines, plus FDA-approved weight management drugs. The bill also requires Medicaid to cover diabetes prevention programs for eligible recipients who haven't previously used such services. These changes apply directly to Nevada Medicaid enrollees with obesity or diabetes risk factors. The law requires the state to seek federal waivers for funding and notify beneficiaries about new coverage options.
Maddy summarySB 193 establishes a state pilot program to reduce mortgage interest rates for eligible first-time homebuyers. The program, administered by the Housing Division, provides interest rate buy-downs for owner-occupied homes to families meeting specific criteria: household income at or below 160% of the county median, first-time homebuyer status (with defined exceptions for displaced homemakers and single parents), and mortgage loan eligibility. Participants can apply through the Division, with the program covering up to the full duration of the mortgage loan. The bill includes an appropriation for program implementation but does not affect local or state government budgets beyond the specified funding.
Maddy summarySB 323 makes permanent a pilot program requiring the Nevada Department of Corrections to provide 15-minute daily free telephone calls between offenders at Florence McClure Women’s Correctional Center and their family members. The bill specifically targets female inmates at this facility, aiming to support family relationships during incarceration. It also prohibits charging offenders more than the actual cost for audio/video calls and mandates that telecom contracts include federal rules requiring refunds for unused call credits. This policy change directly affects inmates at Florence McClure and the state’s correctional communications system.
Maddy summarySB 297 designates October as "Menopause Awareness Month" in Nevada each year. The bill requires the Governor to issue an annual proclamation urging news media, healthcare providers, educators, and other entities to share factual information about menopause and promote access to quality health care during this life stage for Nevadans. The bill passed the legislature in May 2025 but was vetoed by the Governor on June 2, 2025, preventing it from becoming law.
Maddy summarySB 301 expands collective bargaining rights to include specific state peace officers. It revises Nevada law to define "employee" for bargaining purposes to cover category I, II, and III peace officers working in the unclassified service of the State. This directly affects those peace officers, who were previously excluded from collective bargaining under existing law (NRS 288.400-288.630). The bill’s key mechanism is amending the definition of "employee" in state law, allowing these officers to negotiate wages, hours, and working conditions with the Executive Department. The change applies solely to state-level employees and has a fiscal impact on the state, per the bill's note.
Maddy summarySJR 10 is a non-binding resolution urging Congress to take action supporting the therapeutic use of specific psychedelic compounds like psilocybin, MDMA, and ibogaine for mental health conditions. It cites FDA Breakthrough Therapy designations and clinical trial results showing promising outcomes for treatment-resistant depression, PTSD, and chronic pain. The resolution specifically references studies demonstrating significant symptom reduction in veterans and patients with mental health disorders. It does not create new laws or regulations but calls on federal lawmakers to advance research and access for these treatments.
Maddy summarySB 321 updates Nevada's civil penalties for public utility violations related to pipeline safety to match federal inflation-adjusted amounts. It revises Nevada law to set the maximum penalty at no more than the current federal cap ($272,926 per violation per day, up to $2.7 million for related violations), aligning with federal adjustments under the Federal Civil Penalties Inflation Adjustment Act. The bill also removes a provision allowing the state to deduct penalties from payments owed to violators. This directly affects utility companies that violate pipeline safety regulations adopted by Nevada's Public Utilities Commission. The changes ensure Nevada penalties remain consistent with federal standards without imposing new costs on state or local governments.
Maddy summarySB 299 changes how senior living community referral agencies operate in Nevada. Instead of requiring a license from the State Board of Health, the bill mandates these agencies register with the Division of Public and Behavioral Health under the Department of Health and Human Services. To register, agencies must submit an application (including a U.S. physical address), provide liability insurance proof, and pay a $1,354 fee for a two-year registration period, with renewal requiring the same steps. Agencies currently operating without a license may continue until 120 days after the Division adopts required regulations.