Maddy summarySB 217, vetoed by the Governor on June 12, 2025, establishes new rights for individuals accessing assisted reproduction and requires health insurers to cover infertility treatment and fertility preservation. It prohibits government entities from imposing burdens on access to assisted reproduction, fertility services, or reproductive genetic material, with legal remedies available for violations. The bill mandates that health plans for groups over 50 employees (including public employers) cover infertility treatment and fertility preservation without cost-sharing, while exempting Medicaid managed care plans from these requirements until 2027. It also clarifies that fertilized eggs before implantation are not considered "human beings" under Nevada law.
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 summarySB 300 requires Nevada Medicaid to cover mental health services provided by mental health counselors - including substance use and gambling counselors - at federally-qualified health centers, expanding existing coverage that already includes psychiatrists, psychologists, and other specialists. This directly affects Nevada Medicaid beneficiaries who access care at these centers and mental health counselors who can now bill Medicaid for their services. The bill mandates the state to seek federal funding for this expanded coverage and aligns Nevada law with recent federal changes allowing Medicaid reimbursement for these services. It does not change eligibility for beneficiaries but adds specific provider types to covered services under Medicaid.
Maddy summarySB 460 requires Nevada public elementary schools to develop specific plans to improve student achievement, including measurable goals and consequences for principals who fail to meet them. It updates annual school accountability reports to include details about these improvement plans and revises how teacher vacancies are reported. The bill also creates a School District Oversight Board that can assume management of a struggling school district during a state of emergency, with defined membership and activation requirements. These changes directly affect school districts, elementary school principals, and accountability reporting systems across Nevada.
Maddy summarySB 352 amends Nevada law to prohibit health insurers and health care providers from discriminating against patients based on race, color, national origin, sex, age, disability, or gender identity/expression. The bill expands existing protections by adding race, color, national origin, sex, age, and disability to the list of prohibited discrimination bases in health insurance policies and health care services. It also authorizes Nevada's health care licensing agencies to create specific anti-discrimination regulations and discipline providers who violate these rules. This applies directly to all health insurance companies, Medicaid, and health care facilities operating in Nevada.
Maddy summarySB 414 expands Nevada's financial disclosure requirements to include certain state employees appointed by constitutional officers (e.g., governors, attorneys general) who serve "at the pleasure" of those officials and are not part of the state's classified or unclassified workforce. It lowers disclosure thresholds: requiring reporting of real estate valued at $2,500+ (removing geographic limits) and business holdings/securities valued at $5,000+ (previously 1% ownership). The bill also mandates inaugural committees to report contributions/expenditures and requires newly elected constitutional officers to report transition-related finances. These changes apply to public officers, state employees, and candidates for office, broadening transparency for financial interests.
Maddy summarySB 90 appropriates $15 million from the State General Fund to create a grant program for teachers and school support staff (including counselors, psychologists, nurses, and librarians) to obtain classroom supplies and materials. Organizations will administer the grants, with a maximum of $500 per individual for requested supplies, and may cover additional costs if other funding is available. All funds must be expended by June 30, 2027, with unused amounts reverting to the State General Fund. This directly supports educators and specialized staff in accessing necessary classroom resources.
Maddy summarySB 400 ensures continuity of special education services for students with disabilities who transfer schools. It requires schools to provide comparable services to the previous Individualized Education Program (IEP) during transition, until a new IEP is adopted (for in-state transfers) or an evaluation and new IEP are completed (for out-of-state transfers). The bill also mandates that teachers must pass subject-specific competency tests and obtain Department of Education endorsements to teach music or art in most schools, with exceptions for small districts (under 200,000 students) and very small schools (under 500 students), plus temporary exemptions during teacher shortages. These changes align Nevada’s policies with federal special education requirements and update teacher certification standards.
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 133 appropriates $250,000 for each of the 2025-26 and 2026-27 fiscal years from the State General Fund to the Nevada Center for Civic Engagement. This funding supports existing civics education programs in Nevada's K-12 schools (such as National History Day and We the People) and expands programs for adults. The bill requires the Center to submit detailed spending reports to the legislature by specific deadlines and mandates that any unspent funds revert to the State General Fund by September 2026 or 2027. The bill became law on July 1, 2025, after passing unanimously in both chambers and receiving gubernatorial approval.