Nevada 2025 Regular Session Status: Enacted 1 D cosponsors

AB 269 — Revises provisions relating to education. (BDR 18-618)

Last action — Approved by the Governor. Chapter 243.

  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 February 20, 2025. Enacted.

Signed by Governor Joe Lombardo (Republican) on June 03, 2025.

Prognosis

Advancing 52% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • 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).

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

326 added · 358 removed

326 line(s) added, 358 removed.

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(Reprinted with amendments adopted on April 21, 2025) FIRST REPRINT A.B.
Assembly Bill No.
269 A SSEMBLY B ILLN O.
269–Assemblymember D’Silva CHAPTER..........
269–A SSEMBLYMEMBER D’S ILVA FEBRUARY 20, 2025 ____________ Referred to Committee on Government Affairs SUMMARY—Revises provisions relating to education.
(BDR 18-618) FISCAL NOTE:
Effect on Local Government:
No.
Effect on the State:
Yes.
~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
in Underserved Communities Program to repay the student education loans of Care qualified providers of health care who work in certain underserved communities.
Existing law creates the Student Loan Repayment for Providers of Health Care in Underserved Communities Program to repay the student education loans of qualified providers of health care who work in certain underserved communities.
(NRS 226.458) Existing law also creates the Account for Student Loan Repayment for Providers of Health Care in Underserved Communities to be used to repay those student education loans.
(NRS 226.458) Existing law also creates the Account for Student Loan Repayment student education loans.
(NRS 226.466) Existing law defines “provider of health licensed speech-language pathologist, physical therapist, marriage and familya therapist, clinical alcohol and drug counselor, alcohol and drug counselor, assistant behavior analyst and behavior analyst and a certified problem gambling counselor to the definition of “provider of health care” for such purposes, thereby expanding the applicability of the Program.
(NRS 226.466) Existing law defines “provider of healthse care” for purposes of the Program.
Existing law prescribes the requirements for a provider of health care to be requirement that the provider of health care commit to practice for at least 5 years in certain locations.
(NRS 226.454) Section 4 of this bill adds a licensed speech-language pathologist, physical therapist, occupational therapist, marriage and family therapist, clinical alcohol and drug counselor, alcohol and drug counselor, assistant behavior analyst and behavior analyst and a certified problem gambling counselor to the definition of “provider of health care” for such purposes, thereby expanding the applicability of the Program.
Such locations in existing law include specified census tracts that have populations with lower income levels or have a high level of social vulnerability under certain federal criteria.
professionals, which are defined in section 1 of this bill as:
(NRS 226.460) Section 6 expands eligibility for the Program to a provider of health care who commits to practice for at least 5 years in a census tract that is directly adjacent to a census tract prescribed in Sections 5-7 of this bill also expand the Program to include public health professionals, which are defined in section 1 of this bill as:
(1) the Chief Medical Officer and county and district health officers who are appointed under existing law;
(1) the Chief Medical Officer and county and district health officers who are appointed under existing - *AB269_R1* – 2 – law;
and (2) a person who is employed by the Division of Public and Behavioral Health of the Department of Health and Human Services or a local board of health in a position for which the Division or local board of health experiences substantial difficulty in recruitment and retention.
and (2) a person who is employed by the Division of Public and Behavioral Health of the Department of Health and Human Services or a local board of health in a position for which the Division or local board of health experiences substantial be designated by regulation by the State Treasurer, based on recommendations that to are required to be made by the State Board of Health pursuant to section 9 of this bill.
Such positions are required by section 7 to be designated by regulation by the State Treasurer, based on recommendations that are required to be made by the State Board of Health pursuant to section 9 of this Account for Student Loan Repayment for Providers of Health Care and Publicam to the Health Professionals in Underserved Communities as a result of the expansion of the Program to include public health professionals.
Section 8 of this bill changes the name of the Account for the Program to the Account for Student Loan Repayment for Providers of Health Care and Public Health Professionals in Underserved Communities as a result of the expansion of definitions in existing law and section 1 to the provisions of existing law relating to the Program.
Section 2 of this bill applies the definitions in existing law and section 1 to the provisions of existing law relating to the Program.
EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
(b) A county health officer appointed pursuant to NRS 439.290;
- 83rd Session (2025) – 2 – (b) A county health officer appointed pursuant to NRS 439.290;
or 2.
or Behavioral Health of the Department of Health and Humanlic and Services or a local board of health in a position designated by the regulations adopted pursuant to paragraph (e) of subsection 2 of NRS 226.462.
A person who is employed by the Division of Public and Behavioral Health of the Department of Health and Human Services or a local board of health in a position designated by the regulations adopted pursuant to paragraph (e) of subsection 2 of NRS 226.462.
A physician assistant licensed pursuant to chapter 630 or 633 of NRS;
A physician assistant licensed pursuant to chapter 630 or of NRS;
- *AB269_R1* – 3 – 3.
3.
A person who holds a license as an attendant or is certified as an emergency medical technician, advanced emergency medical technician or paramedic pursuant to chapter 450B of NRS;
A person who holds a license as an attendant or is certified technician or paramedic pursuant to chapter 450B of NRS;edical 6.
6.
A provider of doula services who is enrolled with the Division of Health Care Financing and Policy of the Department of Health and Human Services to receive reimbursement through Medicaid pursuant to NRS 422.27177 [.] ;
A provider of doula services who is enrolled with the Division of Health Care Financing and Policy of the Department of - 83rd Session (2025) – 3 – Medicaid pursuant to NRS 422.27177 [.] ;mbursement through 17.
17.
A marriage and family therapist licensed pursuant to chapter 641A of NRS;
An occupational therapist licensed pursuant to chapter 640A of NRS.
A clinical alcohol and drug counselor or an alcohol and drug counselor licensed pursuant to chapter 641C of NRS;
A marriage and family therapist licensed pursuant to chapter 641A of NRS;
A clinical alcohol and drug counselor or an alcohol and drug counselor licensed pursuant to chapter 641C of NRS;
22.
or 22.
or 23.
226.458 1.
Health Care and Public Health Professionals in Underserved Communities Program is hereby created to repay the student education loans of providers of health care and public health professionals who are eligible for the Program pursuant to NRS 226.460 and 226.462 and any regulations adopted pursuant thereto.
The Student Loan Repayment for Providers of Health Care and Public Health Professionals in Underserved Communities Program is hereby created to repay the student education loans of providers of health care and public health professionals who are eligible for the Program pursuant to NRS 226.460 and 226.462 and any regulations adopted pursuant thereto.
(a) Ensure that persons who receive repayment of student education loans are committed to providing health care services or - *AB269_R1* – 4 – are committed to working as a public health professional, as applicable, in an underserved community in this State;
(a) Ensure that persons who receive repayment of student education loans are committed to providing health care services or are committed to working as a public health professional, as applicable, in an underserved community in this State;
(b) Ensure that at least 15 percent of money available for the Program in any year be used to repay the student education loans of providers of health care who commit to practicing or persons who commit to working as public health professionals, as applicable, in a county whose population is less than 100,000, to the extent that such providers or public health professionals are participating in the Program;
(b) Ensure that at least 15 percent of money available for the Program in any year be used to repay the student education loans of providers of health care who commit to practicing or persons who commit to working as public health professionals, as applicable, in such providers or public health professionals are participating in the Program;
(c) With regard to money available for the Program other than money used for the purpose described in paragraph (b), prioritize , for providers of health care, the repayment of student education loans for providers of primary care, providers of health care who commit to accepting as patients recipients of Medicaid or insurance pursuant to the Children’s Health Insurance Program and other providers of health care specified by the regulations adopted by the State Treasurer pursuant to NRS 226.462;
(c) With regard to money available for the Program other than money used for the purpose described in paragraph (b), prioritize , for providers of health care, the repayment of student education loans for providers of primary care, providers of health care who commit to accepting as patients recipients of Medicaid or insurance pursuant to the Children’s Health Insurance Program and other - 83rd Session (2025) – 4 – providers of health care specified by the regulations adopted by the State Treasurer pursuant to NRS 226.462;
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and (d) Work collaboratively to raise awareness about the Program with organizations that work with providers of health care and public health professionals and students studying to become providers of health care [,] or public health professionals, including, without limitation:
and (d) Work collaboratively to raise awareness about the Program with organizations that work with providers of health care and providers of health care [,] or public health professionals, including, without limitation:
Is actively licensed, certified or registered in good standing to practice in this State as a provider of health care [;] or is working as a public health professional, as applicable;
Is actively licensed, certified or registered in good standing as a public health professional, as applicable;
and - *AB269_R1* – 5 – 3.
andare [;] or is working 3.
§ 42(d)(5)(B)(ii) [;] or a census tract that is directly adjacent thereto;
§ 42(d)(5)(B)(ii);
(b) In a census tract which, upon commencement of such clinical practice [,] or employment, has a high level of social vulnerability as determined according to the Social Vulnerability Index developed by the Centers for Disease Control and Prevention of the United States Department of Health and Human Services [;] or a census tract that is directly adjacent thereto;
(b) In a census tract which, upon commencement of such clinical practice [,] or employment, has a high level of social vulnerability as determined according to the Social Vulnerability Index developed by the Centers for Disease Control and Prevention of the United States Department of Health and Human Services;
(c) In a community in which, according to the decennial census immediately preceding the commencement of such clinical practice [,] or employment, at least 20 percent of households were not proficient in the English language;
- 83rd Session (2025) – 5 – immediately preceding the commencement of such clinical practices [,] or employment, at least 20 percent of households were not proficient in the English language;
A provider of health care or public health professional who meets the qualifications set forth in NRS 226.460 and wishes to receive repayment of student education loans from the Program must submit an application to the State Treasurer in the form prescribed by the State Treasurer and comply with any regulations adopted pursuant to subsection 2.
A provider of health care or public health professional who meets the qualifications set forth in NRS 226.460 and wishes to receive repayment of student education loans from the form prescribed by the State Treasurer and comply with anyin the regulations adopted pursuant to subsection 2.
That methodology must - *AB269_R1* – 6 – include, without limitation, a sliding scale that conditions the amount a provider of health care or public health professional should receive from the Program on areas of specialization, type of degree and average loan burden for the particular field of health care in which the provider practices [.] or the professional works.
That methodology must include, without limitation, a sliding scale that conditions the amount a provider of health care or public health professional should receive from the Program on areas of specialization, type of in which the provider practices [.] or the professional works.lth care (c) Shall adopt regulations establishing the:
(c) Shall adopt regulations establishing the:
(d) Shall adopt regulations prescribing the manner in which the State Treasurer will determine whether a geographic area meets the requirements of paragraph (e) of subsection 3 of NRS 226.460.
- 83rd Session (2025) – 6 – State Treasurer will determine whether a geographic area meets the requirements of paragraph (e) of subsection 3 of NRS 226.460.
The Program may not provide to a provider of health care or public health professional more than $120,000 for the repayment of student education loans.
The Program may not provide to a provider of health care or public health professional more than $120,000 for the repayment of stu4.
4.
3.
(a) To administer the Account and the Program;
Money in the Account must be used solely:
- *AB269_R1* – 7 – (a) To administer the Account and the Program;
5.
- 83rd Session (2025) – 7 – 5.
The State Treasurer may apply for and accept any gift, donation, bequest, grant or other source of money for the purpose of administering the Program and repaying the student education loans of providers of health care and public health professionals who have qualified for repayment of student education loans pursuant to NRS 226.460 and 226.462.
The State Treasurer may apply for and accept any gift, donation, bequest, grant or other source of money for the purpose of administering the Program and repaying the student education loans of providers of health care and public health professionals who NRS 226.460 and 226.462.
The State Treasurer shall deposit any money so received into the Account.
The State Treasurer shall deposit anynt to money so received into the Account.
Except as otherwise provided in NRS 444.650, those regulations have the effect of law and supersede all local ordinances and regulations inconsistent therewith, except those local ordinances and regulations which are more stringent than the regulations provided for in this section.
Except as otherwise provided in NRS 444.650, those regulations have the effect of law and supersede all local ordinances and regulations inconsistent therewith, except those local ordinances and regulations which are more stringent than the regulations pro3.
3.
- *AB269_R1* – 8 – 4.
4.
The State Board of Health shall make recommendations to the State Treasurer regarding the designation of positions for the regulations required to be adopted pursuant to paragraph (e) of subsection 2 of NRS 226.462.
The State Board of Health shall make recommendations to the State Treasurer regarding the designation of positions for the regulations required to be adopted pursuant to paragraph (e) of - 83rd Session (2025) – 8 – subsection 2 of NRS 226.462.
(b) The difficulty in filling the position due to special circumstances, including, without limitation, special educational or experience requirements for the position;
circumstances, including, without limitation, special educational or experience requirements for the position;
Any contracts or other agreements entered into by an officer or agency whose name has been changed or whose responsibilities have been transferred pursuant to the provisions of this act to another officer or agency are binding upon the officer or agency to which the responsibility for the administration of the provisions of the contract or other agreement has been transferred.
Any contracts or other agreements entered into by an officer or agency whose name has been changed or whose responsibilities have been transferred pursuant to the provisions of this act to another officer or agency are binding upon the officer or agency to which the responsibility for the administration of the provisions of and other agreements may be enforced by the officer or agency toacts which the responsibility for the enforcement of the provisions of the contract or other agreement has been transferred.
Such contracts and other agreements may be enforced by the officer or agency to which the responsibility for the enforcement of the provisions of the contract or other agreement has been transferred.
- *AB269_R1* – 9 – Sec.
Sec.
(a) Upon passage and approval for the purpose of adopting any tasks that are necessary to carry out the provisions of this act;
(a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act;
and (b) On October 1, 2025, for all other purposes.
and - 83rd Session (2025) – 9 – (b) On October 1, 2025, for all other purposes.
H - *AB269_R1*
~~~~~ 25 - 83rd Session (2025)
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Amendments

2 amendments

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Action History

  1. Approved by the Governor. Chapter 243.

  2. Enrolled and delivered to Governor.

  3. Senate Amendment No. 695 concurred in. To enrollment.

  4. In Assembly.

  5. From printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly.

  6. Read third time. Passed, as amended. Title approved. (Yeas: 21, Nays: None.) To printer.

  7. From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 695.) Reprinting dispensed with.

  8. Read first time. Referred to Committee on Government Affairs. 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: 40, Nays: 2.) To printer.

  12. From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 13.) Dispensed with reprinting.

  13. From printer. To committee.

  14. Read first time. Referred to Committee on Government Affairs. 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

education
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Frequently asked questions

Who sponsors AB 269?
AB 269 is sponsored by D'Silva, Reuben (Democratic).
What is the current status of AB 269?
This bill has been enacted into law. Introduced February 20, 2025. Enacted.
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