SB 348 — Makes revisions relating to laboratory testing. (BDR 40-123)
Last action — Approved by the Governor. Chapter 386.
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed Assembly
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced March 13, 2025. Enacted.
Signed by Governor Joe Lombardo (Republican) on June 06, 2025.
Odds of enactment
High chanceBased on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.
Upgrade to see the exact probability and what's driving it.
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Prognosis
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Enacted
Current position in the legislative process.
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2 sponsors
1 primary, 1 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (1 D · 1 R) — cross-party backing.
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Cleared a recorded vote
Passed 2 recorded votes so far.
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
269 added · 222 removed269 line(s) added, 222 removed.
REQUIRESSenate TWO-THIRDSBill MAJORITYNo. VOTE (§ 3) (Reprinted with amendments adopted on April 18, 2025) FIRST REPRINT S.B.
348348–Senators SPazina; ENATE BILL NO .
348–SENATORS PAZINA ;AND BUCK M ARCH 13, 2025 ____________ Referred to Committee on Health and HumanBuck ServicesCHAPTER.......... SUMMARY—Makes revisions relating to laboratory testing.
(BDR 40-123) FISCAL NOTE:
Effect on Local Government:
May have Fiscal Impact.
Effect on the State:
Contains Appropriation not included in Executive Budget.
(NOTREQUESTED BAFFECTEDLOCALGOVERNMENT) ~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
establishing a fee to be charged by the State Public Health Laboratory is authorized to charge for certain examinations and tests;tests for the discovery of certain diseases in infants;
removing a requirement that the State Public Health Laboratory hold a public hearing under certain circumstances;
requiring Medicaid to reimburse such examinations and tests separately from reimbursement for other labor and delivery services and newborn care;
requiring the Director of the Department of Health and Human Services to request the establishment of a certain rate of reimbursement for such examinations and tests;
(NRS 439.240) Existing law requires the State Board of Health to adopt regulations governing examinationsinheritable anddisorders. tests required for the discovery in infants of preventable or freestanding birthing center or hospital of any nature attending or assisting anye, infant, or the person who gave birth to any infant, at childbirth to:
Existing law further requires any physician, midwife, nurse, freestanding birthing center or hospital of any nature attending or assisting any infant, or the person who gave birth to any infant, at childbirth to:
(NRS 442.008) Section 3 of this bill requiresauthorizes the State Public Health LaboratoryLaboratory, on or after January 1, 2026, to charge a fee of $150less, for the required examinations and tests for the discovery in infants ofofs preventable or inheritable Publicdisorders. Health Laboratory is not authorized to establish a fee for the services forate which a fee is fixed by section 3.
-Section *SB348_R1*1 –of 2this –bill THEmakes PEOPLEa OFconforming THEchange STATEto OFclarify NEVADA,that REPRESENTEDthe INState SENATEPublic ANDHealth ASSEMBLY,Laboratory DOestablishes ENACTthe ASfee FOLLOWS:for such examinations and tests pursuant to section 3.
Section 1.3 also removes a requirement that the State Public Health Laboratory hold a public hearing before increasing that fee.
Section 68.7 of this bill authorizes the State Public Health Laboratory, on or after July 1, 2025, and before January 1, 2026, to charge a fee of not more than preventable or inheritable disorders.d tests for the discovery in infants of Existing law requires the Department of Health and Human Services to administer the Medicaid program.
(NRS 422.270) Section 3.7 of this bill requires the Director of the Department to provide reimbursement under Medicaid for the required examinations and tests for the discovery in infants of preventable or inheritable disorders separately from the reimbursement provided for other labor conforming change to indicate that the provisions of section 3.7 will be administered in the same manner as the provisions of existing law governing Medicaid.
Section 68.3 of this bill requires the Director to submit to the United States Secretary of Health and Human Services, to the extent that money is available and as soon as practicable, a request to include under Medicaid a rate of - 83rd Session (2025) – 2 – and 68.3 authorize the Director to increase that rate of reimbursement to not more than $150 on or after January 1, 2026.
EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
THE SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:D IN Section 1.
(a) To make available, at such charges as may be established [,] or are prescribed bypursuant to NRS 442.008, to health officials, the Director of the State Department of Agriculture and licensed physicians of the State, proper laboratory facilities for the prompt diagnosis of communicable diseases.
If the University of Nevada School of Medicine designates a branch laboratory pursuant to subsection 1 that is operated or controlled by a public agency other than the University of Nevada School of Medicine, the public agency and the University of Nevada School of Medicine shall enter into a cooperative agreement pursuant to NRS 277.080 to 277.180, inclusive, concerning the branch laboratory.
- 83rd Session (2025) – 3 – Sec.
2.
(Deleted by amendment.) Sec.
NRS(DNRS 442.008 is hereby amended to read as follows:
- *SB348_R1* – 3 – 2.
or (b) Insufficient resources to address the results of the exa3.natAny examination andor test.test required by the regulations adopted pursuant to subsection 1 which must be performed by a laboratory must be sent to the State Public Health Laboratory.
3.[If the State Public Health Laboratory increases the amount charged for performing such an examination or test pursuant to NRS 439.240, the Division shall hold a public hearing during which the State Public Health Laboratory shall provide to the Division a written and verbal fiscal analysis of the reasons for the increased charges.] The State Public Health Laboratory may charge a fee of not more than $150 or the rate of reimbursement paid by Medicaid pursuant to section 3.7 of this act, whichever is less, for all such examinations and tests required for the discovery in infants of preventable or inheritable disorders pursuant to this section.
Any examination or test required by the regulations adopted pursuant to subsection 1 which must be performed by a laboratory must be sent to the State Public Health Laboratory.
[If the State Public Health Laboratory increases the amount charged for performing such an examination or test pursuant to NRS 439.240, the Division shall hold a public hearing during which the State Public Health Laboratory shall provide to the Division a written and verbal fiscal analysis of the reasons for the increased charges.] The State Public Health Laboratory shall charge a fee of $150 for all such examinations and tests required for the discovery in infants of preventable or inheritable disorders pursuant to this section.
Except as otherwise provided in subsection 7, the regulations adopted pursuant to subsection 1 concerning tests for the presence of sickle cell disease and its variants and sickle cell trait must require the screening for sickle cell disease and its variants and sickle cell trait of:
- 83rd Session (2025) – 4 – 5.
(a) Make or cause to be made an examination of the infant, including standard tests that do not require laboratory services, to the extent required by regulations of the State Board of Health as is necessary for the discovery of conditions indicating such preventable or inheritable disorders.
(b) Collect and send to the State Public Health Laboratory or cause to be collected and sent to the State Public Health Laboratory any specimens needed for the examinations and tests that must be - *SB348_R1* – 4 – performed by a laboratory and are required by the regulations adopted pursuant to subsection 1.
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An infant is exempt from examination and testing if either parent files a written objection with the person or institution responsibleres8.nsiAs forused makingin this section, “sickle cell disease and its variants” has the examinationmeaning orascribed tests.to it in NRS 439.4927.
8.
As used in this section, “sickle cell disease and its variants” has the meaning ascribed to it in NRS 439.4927.
4.3.4.
NRS 232.320 is hereby amended to read as follows:
232.320 1.
The Director:
(a) Shall appoint, with the consent of the Governor, administrators of the divisions of the Department, who are respectively designated as follows:
(1) The Administrator of the Aging and Disability Services Division;
(2) The Administrator of the Division of Welfare and Supportive Services;
(3) The Administrator of the Division of Child and Family Services;
(4) The Administrator of the Division of Health Care Financing and Policy;
and - 83rd Session (2025) – 5 – (5) The Administrator of the Division of Public and Behavioral Health.
(b) Shall administer, through the divisions of the Department, the provisions of chapters 63, 424, 425, 427A, 432A to 442, 127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and section 3.7 of this act, 422.580, 432.010 to 432.133, inclusive, 432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, and 445A.010 to 445A.055, inclusive, and all other provisions of law relating to the functions of the divisions of the Department, but is not responsible for the clinical activities of the Division of Public and Behavioral Health or the professional line activities of the other divisions.
(c) Shall administer any state program for persons with developmental disabilities established pursuant to the Developmental Disabilities Assistance and Bill of Rights Act of 2000, 42 U.S.C.
§§ 15001 et seq.
(d) Shall, after considering advice from agencies of local governments and nonprofit organizations which provide social services, adopt a master plan for the provision of human services in this State.
The Director shall revise the plan biennially and deliver a copy of the plan to the Governor and the Legislature at the beginning of each regular session.
The plan must:
(1) Identify and assess the plans and programs of the Department for the provision of human services, and any duplication of those services by federal, state and local agencies;
(2) Set forth priorities for the provision of those services;
services) among nonprofit organizations, agenciesination ofofholocal government, the State and the Federal Government;
(4) Identify the sources of funding for services provided by the Department and the allocation of that funding;
(5) Set forth sufficient information to assist the Department in providing those services and in the planning and budgeting for the future provision of those services;
and (6) Contain any other information necessary for the Department to communicate effectively with the Federal Government concerning demographic trends, formulas for the distribution of federal money and any need for the modification of programs administered by the Department.
(e) May, by regulation, require nonprofit organizations and state and local governmental agencies to provide information regarding the programs of those organizations and agencies, excluding - 83rd Session (2025) – 6 – detailed information relating to their budgets and payrolls, which the Director deems necessary for the performance of the duties imposed upon him or her pursuant to this section.
(f) Has such other powers and duties as are provided by law.
the Director’s designee, is responsible for appointing and removingr subordinate officers and employees of the Department.
Sec.
3.7.
Chapter 422 of NRS is hereby amended by adding thereto a new section to read as follows:
1.
To the extent that federal financial participation is available, the Director shall include under Medicaid reimbursement at a rate not to exceed $150 for all examinations and tests required for the discovery in infants of preventable or inheritable disorders pursuant to NRS 442.008.
Such reimbursement must be provided separately from the reimbursement provided for other labor and delivery services provided to a person or newborn care provided to an infant, as applicable.
2.
The Department shall:
(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 reimbursement described in subsection 1.
(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 purSecs.
4-68.
5.68.3.
(Deleted1. by amendment.) Sec.
6.As soon as practicable after the effective date of this section and to the extent that money is available, the Director of the Department of Health and Human Services shall submit to the United States Secretary of Health and Human Services a request to include under Medicaid a rate of reimbursement of not more than $122 for all examinations and tests required for the discovery in infants of preventable or inheritable disorders pursuant to NRS 442.008.
(DeletedThat byrate amendment.)of Sec.reimbursement must not become effective before July 1, 2025.
7.Notwithstanding the provisions of section 3.7 of this act, any additional increase to that rate of reimbursement must not become effective until January 1, 2026.
(Deleted2. by amendment.) Sec.
8.The request submitted pursuant to subsection 1 must be supported using methods for determining reimbursement rates accepted by the Secretary.
(Deleted- by83rd amendment.)Session (2025) – 7 – Sec.
9.68.7.
(DeletedNotwithstanding bythe amendment.)amendatory Sec.provisions of section 3 of this act, the State Public Health Laboratory may not, before January 1, 2026, charge a fee in excess of $122 for all examinations and tests required for the discovery in infants of preSec.
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This section becomesand section 68.3 of this act become effective upon passage and approval.
- *SB348_R1* – 6 – 2.
Sections 1, 3, 3.4, 3.7, 64, 65, 6666, 68.7 and 69 of this act become effective on July 1, 2025.
(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;
H~~~~~ 25 - *SB348_R1*83rd Session (2025)
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View plain text versions (5)
- Enrolled As Enrolled Current pdf
- Reprint 1 View text pdf
- Reprint 2 View text pdf
- Reprint 3 View text pdf
- Introduced As Introduced pdf
Amendments
3 amendmentsClick Show changes on an amendment above to see how it modifies the bill.
Action History
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Approved by the Governor. Chapter 386.
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Enrolled and delivered to Governor.
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In Senate. Assembly Amendment Nos. 597 and 896 concurred in. To enrollment.
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From printer. To reengrossment. Reengrossed. Third reprint. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 35, Nays: 5, Excused: 2.) To Senate.
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From committee: Amend, and do pass as amended. Placed on General File. Read third time. Amended. (Amend. No. 896.) To printer.
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From printer. To reengrossment. Reengrossed. Second reprint. To committee.
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Notice of exemption.
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Read second time. Amended. (Amend. No. 597.) Rereferred to Committee on Ways and Means. To printer.
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From committee: Amend, and do pass as amended.
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In Assembly. Read first time. Referred to Committee on Health and Human Services. To committee.
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From printer. To engrossment. Engrossed. First reprint. To Assembly.
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Read third time. Passed, as amended. Title approved, as amended. (Yeas: 16, Nays: 5.) To printer.
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From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 221.) Reprinting dispensed with. Placed on General File.
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From printer. To committee.
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Read first time. Referred to Committee on Health and Human Services. To printer.
Sponsors
- Carrie Ann Buck · Cosponsor
- Julie Pazina · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 1 co-sponsors · 65 not signed on · 10 voted No
Sponsors (1)
- Pazina, Julie Democratic
Co-sponsors (1)
- Buck, Carrie Ann Republican
Not signed on (65)
65 members have not signed on to this bill.
Show all 65 →"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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 25 | 0 | 0 | 2 |
| Republican | 9 | 5 | 0 | 0 |
| Unaffiliated | 1 | 0 | 0 | 0 |
| Total | 35 | 5 | 0 | 2 |
| % of votes cast | 83% | 12% | 0% | 5% |
How each member voted (42)
| Member | Party | Vote |
|---|---|---|
| OâNeill, PK | — | Yea |
| Anderson, Natha C. | Democratic | Not Voting |
| Backus, Shea M. | Democratic | Yea |
| Brown-May, Tracy | Democratic | Yea |
| Carter, Max E., II | Democratic | Yea |
| Considine, Venicia | Democratic | Yea |
| D'Silva, Reuben | Democratic | Yea |
| Dalia, Joe | Democratic | Yea |
| Flanagan, Tanya P. | Democratic | Yea |
| González, Cecelia | Democratic | Not Voting |
| Goulding, Heather | Democratic | Yea |
| Hunt, Linda F. | Democratic | Yea |
| Jackson, Jovan A. | Democratic | Yea |
| Jauregui, Sandra | Democratic | Yea |
| Karris, Venise | Democratic | Yea |
| La Rue Hatch, Selena | Democratic | Yea |
| Marzola, Elaine H. | Democratic | Yea |
| Miller, Brittney M. | Democratic | Yea |
| Monroe-Moreno, Daniele | Democratic | Yea |
| Moore, Cinthia Zermeño | Democratic | Yea |
| Mosca, Erica | Democratic | Yea |
| Nadeem, Hanadi | Democratic | Yea |
| Nguyen, Duy | Democratic | Yea |
| Orentlicher, David | Democratic | Yea |
| Roth, Erica P. | Democratic | Yea |
| Torres-Fossett, Selena | Democratic | Yea |
| Watts, Howard | Democratic | Yea |
| Yeager, Steve | Democratic | Yea |
| Cole, Lisa K. | Republican | Yea |
| DeLong, Rich | Republican | Yea |
| Dickman, Jill | Republican | Nay |
| Edgeworth, Rebecca | Republican | Yea |
| Gallant, Danielle | Republican | Nay |
| Gray, Ken | Republican | Nay |
| Gurr, Bert K. | Republican | Nay |
| Hafen, Gregory T., II | Republican | Yea |
| Hansen, Alexis M. | Republican | Yea |
| Hardy, Melissa R.. | Republican | Yea |
| Hibbetts, Brian | Republican | Yea |
| Kasama, Heidi | Republican | Nay |
| Koenig, Gregory S. | Republican | Yea |
| Yurek, Toby | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 3 | 5 | 0 | 0 |
| Democratic | 13 | 0 | 0 | 0 |
| Total | 16 | 5 | 0 | 0 |
| % of votes cast | 76% | 24% | 0% | 0% |
How each member voted (21)
| Member | Party | Vote |
|---|---|---|
| Cannizzaro, Nicole J. | Democratic | Yea |
| Cruz-Crawford, Michelee "Shelly" | Democratic | Yea |
| Daly, Skip | Democratic | Yea |
| Dondero Loop, Marilyn | Democratic | Yea |
| Doñate, Fabian | Democratic | Yea |
| Flores, Edgar | Democratic | Yea |
| Lange, Roberta | Democratic | Yea |
| Neal, Dina | Democratic | Yea |
| Nguyen, Rochelle T. | Democratic | Yea |
| Ohrenschall, James | Democratic | Yea |
| Pazina, Julie | Democratic | Yea |
| Scheible, Melanie | Democratic | Yea |
| Taylor, Angela D. | Democratic | Yea |
| Buck, Carrie Ann | Republican | Yea |
| Ellison, John | Republican | Nay |
| Hansen, Ira | Republican | Nay |
| Krasner, Lisa | Republican | Nay |
| Rogich, Lori | Republican | Yea |
| Steinbeck, John C. | Republican | Yea |
| Stone, Jeff | Republican | Nay |
| Titus, Robin L. | Republican | Nay |
Subjects
Frequently asked questions
- Who sponsors SB 348?
- SB 348 is sponsored by Buck, Carrie Ann (Republican) and Pazina, Julie (Democratic).
- What is the current status of SB 348?
- This bill has been enacted into law. Introduced March 13, 2025. Enacted.
- Where can I track SB 348?
- Track SB 348 free on One Click Politics — get push/email alerts when it moves.
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