Nevada 2025 Regular Session Status: Enacted 1 D cosponsors

AB 360 — Revises provisions relating to testing for sexually transmitted diseases. (BDR 40-745)

Last action — Approved by the Governor. Chapter 126.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Assembly
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced March 04, 2025. Enacted.

Signed by Governor Joe Lombardo (Republican) on May 30, 2025.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 52% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 D).

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

335 added · 366 removed

335 line(s) added, 366 removed.

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(Reprinted with amendments adopted on April 21, 2025) FIRST REPRINT A.B.
Assembly Bill No.
360 ASSEMBLY B ILLN O.
360–Assemblymember Goulding CHAPTER..........
360–A SSEMBLYMEMBER G OULDING M ARCH 4, 2025 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to testing for sexually transmitted diseases.
(BDR 40-745) FISCAL NOTE:
Effect on Local Government:
May have Fiscal Impact.
Effect on the State:
Yes.
CONTAINS UNFUNDED MANDATE (§ 1) (NOTREQUESTED BA FFECTELOCAL GOVERNMENT) ~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Legislative Counsel’s Digest:
LegiExisting law requires every physician attending a pregnant woman during gestation to make an examination for the discovery of syphilis.
Existing law requires every physician attending a pregnant woman during gestation to make an examination for the discovery of syphilis.
Existing law requires such a physician or facility to treat a patient who tests positive for syphilis or to refer the patient for such - *AB360_R1* – 2 – treatment, except where the patient refuses treatment.
Existing law requires such a physician or facility to treat a patient who tests positive for syphilis or to refer the patient for such treatment, except where the patient refuses treatment.
Additionally, certain public and private policies of health insurance, including performed under the conditions required by section 1.
Medicaid, would be required to cover rapid or point-of-care testing for syphilisding - 83rd Session (2025) – 2 – performed under the conditions required by section 1.
(NRS 287.010, 287.04335,is 422.27173, 689A.0412, 689B.0315, 689C.1675, 698C.425, 695A.1856, 695B.1913, 695C.050, 695C.1737, 695G.1714) Section 3.5 of this bill requires Medicaid, to the extent federal financial participation is available, to reimburse such testing for syphilis separately from the other prenatal care the pregnant woman received at the time of the testing.
(NRS 287.010, 287.04335, 695C.050, 695C.1737, 695G.1714) Section 3.5 of this bill requires Medicaid, to the extent federal financial participation is available, to reimburse such testing for syphilis separately from the other prenatal care the pregnant woman received at the time of the testing.
EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
The physician , physician assistant or advanced practice registered nurse shall take or cause to be taken a sample of blood of the woman at the times prescribed by subsection 2, if applicable, and shall submit the sample to a laboratory licensed pursuant to chapter 652 of NRS for a standard serological test for syphilis.
The physician , physician assistant or advanced practice registered nurse shall take or cause to be taken a sample of blood of the shall submit the sample to a laboratory licensed pursuant to chapter of NRS for a standard serological test for syphilis.
(b) Person permitted by law to attend upon pregnant women, but not permitted by law to make blood tests in Nevada, shall cause a sample of the blood of the pregnant woman to be taken at the times - *AB360_R1* – 3 – prescribed by subsection 2, if applicable, by a duly licensed physician , physician assistant or advanced practice registered nurse and submitted to a laboratory licensed pursuant to chapter 652 of NRS for a standard serological test for syphilis.
(b) Person permitted by law to attend upon pregnant women, but not permitted by law to make blood tests in Nevada, shall cause a sample of the blood of the pregnant woman to be taken at the times prescribed by subsection 2, if applicable, by a duly licensed physician , physician assistant or advanced practice registered nurse and submitted to a laboratory licensed pursuant to chapter 652 of NRS for a standard serological test for syphilis.
(I) A test for the discovery of syphilis [,] in accordance with subsection 3 if the woman indicates that she is pregnant , [and has not had the prenatal screenings and tests recommended by the American College of Obstetricians and Gynecologists or its successor organization.
- 83rd Session (2025) – 3 – (I) A test for the discovery of syphilis [,] in accordance with subsection 3 if the woman indicates that she is pregnant , [and has not had the prenatal screenings and tests recommended by the American College of Obstetricians and Gynecologists or its emergency department or labor and delivery unit shall ensure that aity, sample of blood of the woman is taken at the times prescribed by subsection 2, if applicable, and shall ensure the submission of the sample to a laboratory licensed pursuant to chapter 652 of NRS for a standard serological test for] has no history of syphilis and has not been tested for syphilis within the immediately preceding 3 months;
The non-hospital medical facility, emergency department or labor and delivery unit shall ensure that a sample of blood of the woman is taken at the times prescribed by subsection 2, if applicable, and shall ensure the submission of the sample to a laboratory licensed pursuant to chapter 652 of NRS for a standard serological test for] has no history of syphilis and has not been tested for syphilis within the immediately preceding 3 months;
(1) Should be routinely tested for infection with syphilis, as recommended by the Centers for Disease Control and Prevention of the United States Department of Health and Human Services;
(1) Should be routinely tested for infection with syphilis, as the United States Department of Health and Human Services;ion of (2) Lives in an area designated by the Division as having high syphilis morbidity;
(2) Lives in an area designated by the Division as having high syphilis morbidity;
(3) Did not receive prenatal care;
- *AB360_R1* – 4 – (3) Did not receive prenatal care;
4.
- 83rd Session (2025) – 4 – 4.
[5.] 6.
examination test performed pursuant to subsection 1 shows that a pregnant woman is infected with syphilis, the physician, physician assistant, advanced practice registered nurse, other person, non- hospital medical facility, emergency department or labor and delivery unit shall:
If a serological , rapid, point-of-care or physical examination test performed pursuant to subsection 1 shows that a pregnant woman is infected with syphilis, the physician, physician assistant, advanced practice registered nurse, other person, non- hospital medical facility, emergency department or labor and delivery unit shall:
and (b) The provider of health care attending to the woman shall ensure that any refusal is documented in her medical records.
and ensure that any refusal is documented in her medical records.ll 8.
8.
Except as otherwise provided in subsection 9, a non- hospital medical facility and a hospital with an emergency department or labor and delivery unit shall develop a policy to ensure compliance with this section and recommendations of the American College of Obstetricians and Gynecologists, or its successor organization, to the extent that those recommendations do not conflict with this section, concerning best practices for prenatal screenings and tests.
Except as otherwise provided in subsection 9, a non- hospital medical facility and a hospital with an emergency department or labor and delivery unit shall develop a policy to ensure compliance with this section and recommendations of the American College of Obstetricians and Gynecologists, or its - *AB360_R1* – 5 – successor organization, to the extent that those recommendations do not conflict with this section, concerning best practices for prenatal screenings and tests.
9.
- 83rd Session (2025) – 5 – the Department or any political subdivision of this State,ed by including, without limitation, a city, county, city board of health, county board of health or district board of health, is exempt from the requirements of paragraph (c) of subsection 1 and subsection 8.
A rural clinic that is owned, operated or administered by the Department or any political subdivision of this State, including, without limitation, a city, county, city board of health, county board of health or district board of health, is exempt from the requirements of paragraph (c) of subsection 1 and subsection 8.
Sec.
2.
NRS 449.160 is hereby amended to read as follows:
The Division may deny an application for a license or may suspend or revoke any license issued under the provisions of NRS 449.029 to 449.2428, inclusive, upon any of the following grounds:
The Division may deny an application for allows:
license or may suspend or revoke any license issued under the provisions of NRS 449.029 to 449.2428, inclusive, upon any of the following grounds:
(d) Conduct or practice detrimental to the health or safety of the occupants or employees of the facility.
(d) Conduct or practice detrimental to the health or safety of the occ(e) Failure of the applicant to obtain written approval from the Director of the Department of Health and Human Services as required by NRS 439A.100 or 439A.102 or as provided in any regulation adopted pursuant to NRS 449.001 to 449.430, inclusive, and 449.435 to 449.531, inclusive, and chapter 449A of NRS if such approval is required, including, without limitation, the closure or conversion of any hospital in a county whose population is 100,000 or more that is owned by the licensee without approval pursuant to NRS 439A.102.
(e) Failure of the applicant to obtain written approval from the Director of the Department of Health and Human Services as required by NRS 439A.100 or 439A.102 or as provided in any - *AB360_R1* – 6 – regulation adopted pursuant to NRS 449.001 to 449.430, inclusive, and 449.435 to 449.531, inclusive, and chapter 449A of NRS if such approval is required, including, without limitation, the closure or conversion of any hospital in a county whose population is 100,000 or more that is owned by the licensee without approval pursuant to NRS 439A.102.
- 83rd Session (2025) – 6 – (f) Failure to comply with the provisions of NRS 441A.315 and any regulations adopted pursuant thereto or NRS 449.2486.
(f) Failure to comply with the provisions of NRS 441A.315 and any regulations adopted pursuant thereto or NRS 449.2486.
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(h) Failure to comply with the provisions of NRS 449A.170 to 449A.192, inclusive, and any regulation adopted pursuant thereto.
(h) Failure to comply with the provisions of NRS 449A.170 to 449(i) Violation of the provisions of NRS 629.260.rsuant thereto.
(i) Violation of the provisions of NRS 629.260.
and (c) A report of any disciplinary action taken against the facility.
and The facility shall make the information available to the publiclity.
The facility shall make the information available to the public pursuant to NRS 449.2486.
pursuant to NRS 449.2486.
- *AB360_R1* – 7 – Sec.
Sec.
In addition to the payment of the amount required by NRS 449.0308, if a medical facility, facility for the dependent or facility which is required by the regulations adopted by the Board pursuant to NRS 449.0303 to be licensed violates any provision related to its licensure, including any provision of NRS 439B.410 , 442.010 or 449.029 to 449.2428, inclusive, or any condition, standard or regulation adopted by the Board, the Division, in accordance with the regulations adopted pursuant to NRS 449.165, may:
In addition to the payment of the amount required by NRS 449.0308, if a medical facility, facility for the dependent or facility which is required by the regulations adopted by the Board pursuant to NRS 449.0303 to be licensed violates any provision related to its licensure, including any provision of NRS 439B.410 , - 83rd Session (2025) – 7 – standard or regulation adopted by the Board, the Division, in accordance with the regulations adopted pursuant to NRS 449.165, may:
and (e) Appoint temporary management to oversee the operation of the facility and to ensure the health and safety of the patients of the facility, until:
and the facility and to ensure the health and safety of the patients of the facility, until:
3.
pursuant to paragraph (d) of subsection 1 or subsection 2, they imposed Division may:
If the facility fails to pay any administrative penalty imposed pursuant to paragraph (d) of subsection 1 or subsection 2, the Division may:
and - *AB360_R1* – 8 – (b) Collect court costs, reasonable attorney’s fees and other costs incurred to collect the administrative penalty.
and (b) Collect court costs, reasonable attorney’s fees and other costs incurred to collect the administrative penalty.
The Division may require any facility that violates any provision of NRS 439B.410 or 449.029 to 449.2428, inclusive, or any condition, standard or regulation adopted by the Board to make any improvements necessary to correct the violation.
The Division may require any facility that violates any provision of NRS 439B.410 or 449.029 to 449.2428, inclusive, or - 83rd Session (2025) – 8 – any improvements necessary to correct the violation.
5.
Board to make 5.
[1.] (a) Testing for and the treatment and prevention of sexually transmitted diseases, including, without limitation, Chlamydia trachomatis, gonorrhea, syphilis, human immunodeficiency virus and hepatitis B and C, for all recipients of Medicaid, regardless of age.
[1.] (a) Testing for and the treatment and prevention of sexually transmitted diseases, including, without limitation, Chlamydia and hepatitis B and C, for all recipients of Medicaid, regardless of age.
(a) Apply to the Secretary of Health and Human Services for any waiver of federal law or apply for any amendment of the State Plan for Medicaid that is necessary for the Department to receive federal funding to provide the coverage described in subsections 1 and 2.
any waiver of federal law or apply for any amendment of the State Plan for Medicaid that is necessary for the Department to receive federal funding to provide the coverage described in subsections 1 and 2.
(b) Fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements of the - *AB360_R1* – 9 – Federal Government for obtaining a waiver or amendment pursuant to paragraph (a).
(b) Fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements of the Federal Government for obtaining a waiver or amendment pursuant to paragraph (a).
- 83rd Session (2025) – 9 – additional expenses of a local government that are related to the provisions of this act.
4.
The provisions of NRS 354.599 do not apply to any additional expenses of a local government that are related to the provisions of this act.
Sec.
H - *AB360_R1*
~~~~~ 25 - 83rd Session (2025)
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Amendments

1 amendment

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Action History

  1. Approved by the Governor. Chapter 126.

  2. Enrolled and delivered to Governor.

  3. In Assembly. To enrollment.

  4. Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.

  5. Taken from General File. Placed on General File for next legislative day.

  6. Read second time.

  7. From committee: Do pass.

  8. Read first time. Referred to Committee on Health and Human Services. To committee.

  9. In Senate.

  10. From printer. To engrossment. Engrossed. First reprint. To Senate.

  11. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To printer.

  12. From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 183.) Dispensed with reprinting.

  13. Notice of eligibility for exemption.

  14. From printer. To committee.

  15. Read first time. Referred to Committee on Health and Human Services. To printer.

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 66 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (66)

66 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

public-safety healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors AB 360?
AB 360 is sponsored by Goulding, Heather (Democratic).
What is the current status of AB 360?
This bill has been enacted into law. Introduced March 04, 2025. Enacted.
Where can I track AB 360?
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