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 summaryAB 414 requires employers at qualifying "large hybrid environment facilities" (defined as 10,000+ square feet where workers face outdoor elements >50% of shifts) with over 15 employees to add specific air quality protections to their written safety programs. Key provisions mandate turning off vehicle engines during loading/unloading (except refrigerated units), monitoring air quality every 4 hours, and implementing ventilation if unsafe levels are detected. Exemptions cover law enforcement, emergency responders, waste management, towing services, and state agencies. The bill was passed by both chambers in June 2025 but was vetoed by the Governor on June 11, 2025, preventing it from becoming law.
Maddy summarySB 260 requires employers with outdoor workers to implement specific measures when wildfire smoke causes air quality index (AQI) levels of 150 or higher. It mandates employers to monitor air quality, provide clear alerts to workers about smoke exposure, establish systems for workers to report symptoms, and offer training on risks and protective measures. The bill prohibits outdoor critical tasks when AQI reaches 200 or higher and exempts mining operations, commercial trucking, emergency services, and businesses with 10 or fewer employees. These requirements become fully effective January 1, 2026, after initial regulatory development.
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 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 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 231 establishes new rules for pharmacies and hospitals operating secure drug take-back bins to collect unused medications from homes. It requires clear signage about acceptable items, monitored access hours, regular inspections, and reporting theft/tampering to law enforcement within one business day. The bill prohibits collectors from charging customers for bin maintenance and shields compliant collectors from liability (except for gross negligence). Additionally, it allocates $500,000 from Nevada’s opioid settlement fund to help cover the cost of destroying collected medications.
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.