Nevada 2025 Regular Session Status: Enacted Bipartisan · 4 D · 1 R cosponsors

SB 207 — Requires the establishment of a program of all-inclusive care for the elderly. (BDR 38-763)

Last action — Chapter 497.

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

This bill has been enacted into law. Introduced February 18, 2025. Enacted.

Signed by Governor Joe Lombardo (Republican) on June 10, 2025.

Odds of enactment

High chance

Based 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.

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

Prognosis

Likely to advance 96% · high confidence

  • Enacted

    Current position in the legislative process.

  • 5 sponsors

    3 primary, 2 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (4 D · 1 R) — cross-party backing.

  • 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

291 added · 301 removed

291 line(s) added, 301 removed.

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Previous
Latest
EXEMPT (Reprinted with amendments adopted on April 14, 2025) FIRST REPRINT S.B.
Senate Bill No.
207 SENATE BILL N O.
207–Senators Taylor, Doñate, Neal;
207–SENATORS T AYLOR , D OÑATE , NEAL;
Daly and Stone CHAPTER..........
DALY AND STONE FEBRUARY 18, 2025 ____________ Referred to Committee on Health and Human Services SUMMARY—Requires the establishment of a program of all- inclusive care for the elderly.
(BDR 38-763) 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.
making an appropriation;
Legislative Counsel’s Digest:
LegiExisting federal law authorizes a state to establish a program, commonly known as a program of all-inclusive care for the elderly or PACE program, to provide services to certain recipients of Medicare and Medicaid who are 55 years of age or older.
Existing federal law authorizes a state to establish a program, commonly provide services to certain recipients of Medicare and Medicaid who are 55 years of age or older.
(1) creates the Office of the Community Advocate within the resources and services available to aging persons within their respectiveng communities, including any PACE program established by the Division.
(1) creates the Office of the Community Advocate within the Division;
- *SB207_R1* – 2 – (NRS 427A.300, 427A.310) Section 4 replaces the reference to the PACE program established by the Division with a reference to the PACE program established by the Department pursuant to section 1, thereby requiring the Community Advocate make conforming changes so that the PACE program created by section 1 is treatedl similarly to any PACE program that would have been created under the authority eliminated by section 8 for purposes relating to:
and (2) requires the Community Advocate to assist in coordinating resources and services available to aging persons within their respective 427A.300, 427A.310) Section 4 replaces the reference to the PACE programS established by the Division with a reference to the PACE program established by the Department pursuant to section 1, thereby requiring the Community Advocate to provide assistance related to that PACE program.
(1) the division of the community income, assets and obligations of a married couple into separate income for the purpose of qualifying for such a program;
Sections 5 and 7 of this bill make conforming changes so that the PACE program created by section 1 is treated similarly to any PACE program that would have been created under the authority eliminated by section 8 for purposes relating to:
and (2) activities of a home care agency or a local government which provides in the home personal care services, personal assistance or temporary respite services to elderly persons or persons with disabilities.
(1) the division of the community purpose of qualifying for such a program;
and (2) activities of a home care the program, which is a program, including a PACE program, established by a state agency or a local government which provides in the home personal care services, personal assistance or temporary respite services to elderly persons or persons with disabilities.
Section 7.5 of this bill appropriates money to and authorizes expenditures by the Division of Health Care Financing and Policy of the Department to pay the costs of establishing and administering the PACE program.
- 83rd Session (2025) – 2 – EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
§§ 1395eee and 1396u-4, 42 C.F.R.
§§ 1395eee and 1396u-4, C.F.R.
3.
may contract with any appropriate public or private agency,or it organization or institution to provide the services necessary to administer the program described in this section, including, without limitation, a federally-qualified health center.
The Department may use personnel of the Department or it may contract with any appropriate public or private agency, organization or institution to provide the services necessary to administer the program described in this section, including, without limitation, a federally-qualified health center.
(b) Fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements of the - *SB207_R1* – 3 – 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).
6.
federal or private grant of money or any other type of assistance that becomes available to carry out the provisions of this section.
The Department may apply for, accept and expend any federal or private grant of money or any other type of assistance that becomes available to carry out the provisions of this section.
- 83rd Session (2025) – 3 – Any money received pursuant to this subsection must be accounted for separately in the State General Fund.
Any money received pursuant to this subsection must be accounted for separately in the State General Fund.
Sec.
427A.260 NRS1.
2.
NRS 427A.260 is hereby amended to read as follows:
427A.260 1.
Sec.
427A.310 NRS1.
4.
The310 Community amendAdvocatead ashallloprovide assistance to persons who are 60 years of age or older and do not reside in facilities for long-term care.
NRS 427A.310 is hereby amended to read as follows:
427A.310 1.
The Community Advocate shall provide assistance to persons who are 60 years of age or older and do not reside in facilities for long-term care.
(b) Dissemination of information to aging persons on issues of national and local interest, including information regarding the - *SB207_R1* – 4 – services of the Community Advocate and the existence of groups of aging persons with similar interests and concerns;
(b) Dissemination of information to aging persons on issues of national and local interest, including information regarding the services of the Community Advocate and the existence of groups of aging persons with similar interests and concerns;
(a) Is less than 60 years of age;
- 83rd Session (2025) – 4 – (a) Is less than 60 years of age;
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Except as otherwise provided in subsection 2, a court of competent jurisdiction may, upon a proper petition filed by a spouse or the guardian of a spouse, enter a decree dividing the income and resources of a married couple pursuant to this section if one spouse is an institutionalized spouse and the other spouse is a community spouse.
Except as otherwise provided in subsection 2, a a spouse or the guardian of a spouse, enter a decree dividing the by income and resources of a married couple pursuant to this section if one spouse is an institutionalized spouse and the other spouse is a community spouse.
If either spouse establishes that the community spouse needs income greater than that otherwise provided under paragraph (b) of subsection 3, upon finding exceptional circumstances resulting in significant financial duress and setting forth in writing the reasons for that finding, the court may enter an order for support against the institutionalized spouse for the support of the community spouse in an amount adequate to provide such additional income as is necessary.
If either spouse establishes that the community spouse needs income greater than that otherwise provided under paragraph (b) of subsection 3, upon finding exceptional circumstances resulting in significant financial duress and setting forth in writing the reasons for that finding, the court may enter an order for support against the institutionalized spouse for the support of the community spouse in necessary.adequate to provide such additional income as is 5.
5.
A copy of a petition for relief under subsection 4 or 5 and any court order issued pursuant to such a petition must be served on the Administrator of the Division of Welfare and Supportive - *SB207_R1* – 5 – Services of the Department of Health and Human Services when any application for medical assistance is made by or on behalf of an institutionalized spouse.
A copy of a petition for relief under subsection 4 or 5 and any court order issued pursuant to such a petition must be served on the Administrator of the Division of Welfare and Supportive Services of the Department of Health and Human Services when any application for medical assistance is made by or on behalf of an institutionalized spouse.
The Administrator may intervene no later than 45 days after receipt by the Division of Welfare and Supportive Services of the Department of Health and Human Services of an application for medical assistance and a copy of the petition and any order entered pursuant to subsection 4 or 5, and may move to modify the order.
The Administrator may intervene no later - 83rd Session (2025) – 5 – than 45 days after receipt by the Division of Welfare and Supportive Services of the Department of Health and Human Services of an application for medical assistance and a copy of the petition and any order entered pursuant to subsection 4 or 5, and may move to mod7.y tA person may enter into a written agreement with his or her spouse dividing their community income, assets and obligations into equal shares of separate income, assets and obligations of the spouses.
7.
A person may enter into a written agreement with his or her spouse dividing their community income, assets and obligations into equal shares of separate income, assets and obligations of the spouses.
(1) The Administrator of the Aging and Disability Services Division;
(1) The Administrator of the Aging and Disability Services Divisi(2) The Administrator of the Division of Welfare and Supportive Services;
(2) The Administrator of the Division of Welfare and Supportive Services;
(b) Shall administer, through the divisions of the Department, the provisions of chapters 63, 424, 425, 427A, 432A to 442, inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and section 1 of this act, 422.580, 432.010 to 432.133, inclusive, 432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, - *SB207_R1* – 6 – 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.
(b) Shall administer, through the divisions of the Department, the provisions of chapters 63, 424, 425, 427A, 432A to 442, inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and section 1 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 - 83rd Session (2025) – 6 – 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.
developmentaladminidisabilitieste established perpursuanth to the Developmental Disabilities Assistance and Bill of Rights Act of 2000, 42 U.S.C.
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.
and (6) Contain any other information necessary for the Government concerning demographic trends, formulas for thehe Federal distribution of federal money and any need for the modification of programs administered by the Department.
Sec.
- 83rd Session (2025) – 7 – Sec.
“Home care program” means a program established by a state agency or a local government which provides - *SB207_R1* – 7 – in the home personal care services, personal assistance or temporary respite services to elderly persons or persons with disabilities.
“Home care program” means a program established by a state agency or a local government which provides in the home personal care services, personal assistance or temporary res2.
2.
The term includes, without limitation:ns with disabilities.
The term includes, without limitation:
(a) Any program established under the State Plan for Medicaid which provides, in the home, the services described in subsection 1.
(a) Any program established under the State Plan for Medicaid whi(b) Any program established pursuant to NRS 427A.250 tosection 1.
(b) Any program established pursuant to NRS 427A.250 to 427A.280, inclusive [.] , or section 1 of this act.
427A.280, inclusive [.] , or section 1 of this act.
7.5.
1.
There is hereby appropriated from the State General Fund to the Division of Health Care Financing and Policy of the Department of Health and Human Services for costs to carry out the provisions of this act the following sums:
For the Fiscal Year 2025-2026..................................$293,055 For the Fiscal Year 2026-2027..................................$184,057 2.
Expenditure of the following sums not appropriated from the State General Fund or the State Highway Fund is hereby authorized by the Division of Health Care Financing and Policy of the Department of Health and Human Services for the same purposes as set forth in subsection 1:
For the Fiscal Year 2025-2026..................................$323,855 For the Fiscal Year 2026-2027....................................$91,953 3.
Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2026, and September 17, 2027, respectively.
Sec.
Sections 1 to 8, inclusive, of this act become effective:
Section 7.5 of this act becomes 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;
and (b) On January 1, 2026, for all other purposes.
TEXT OF REPEALED SECTION 427A.255 Program of all-inclusive care for the elderly:
Establishment and administration;
requirements;
regulations.
1.
In addition to any program established pursuant to NRS 427A.250, the Division may establish and administer a program of all-inclusive care for the elderly, commonly known as a PACE program.
The program may be carried out solely by the Division or in cooperation with another state agency, the Federal Government or any local government.
2.
A program established pursuant to subsection 1:
(a) Must comply with the provisions of 42 U.S.C.
§ 1396u-4, 42 C.F.R.
Part 460 and any other federal regulations governing programs of all-inclusive care for the elderly;
and (b) May be established in any county in this State.
The Division may adopt regulations necessary to establish and administer the program.
Sections 1 to 7, inclusive, and 8 of this act become effective:
4.
- 83rd Session (2025) – 8 – (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;
If the Division wishes to establish a program pursuant to and Human Services any amendment to the State Plan for Medicaidlth necessary to enable the Division to establish the program and to revise the program from time to time.
and (b) On January 1, 2026, for all other purposes.
H - *SB207_R1*
~~~~~ 25 - 83rd Session (2025)
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Amendments

2 amendments

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Action History

  1. Chapter 497.

  2. Approved by the Governor.

  3. Enrolled and delivered to Governor.

  4. To enrollment.

  5. In Senate.

  6. Read third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate.

  7. From committee: Do pass. Placed on Second Reading File. Read second time.

  8. From printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly. In Assembly. Read first time. Referred to Committee on Ways and Means. To committee.

  9. From committee: Amend, and do pass as amended. Placed on General File. Read third time. Amended. (Amend. No. 849.) Reprinting dispensed with. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 21, Nays: None.) To printer.

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

  11. Notice of eligibility for exemption. Read second time. Amended. (Amend. No. 61.) Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.

  12. From committee: Amend, and do pass as amended.

  13. From printer. To committee.

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

Sponsors

Sponsorship breakdown

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3 sponsors · 2 co-sponsors · 62 not signed on

Sponsors (3)

Co-sponsors (2)

Not signed on (62)

62 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

Votes

Assembly (2nd Reprint)

Passed 42 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democratic 27000
Republican 14000
Unaffiliated 1000
Total 42000
% of votes cast 100%0%0%0%
How each member voted (42)
Member Party Vote
O’Neill, PK — Yea
Anderson, Natha C. Democratic Yea
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 Yea
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 Yea
Edgeworth, Rebecca Republican Yea
Gallant, Danielle Republican Yea
Gray, Ken Republican Yea
Gurr, Bert K. Republican Yea
Hafen, Gregory T., II Republican Yea
Hansen, Alexis M. Republican Yea
Hardy, Melissa R.. Republican Yea
Hibbetts, Brian Republican Yea
Kasama, Heidi Republican Yea
Koenig, Gregory S. Republican Yea
Yurek, Toby Republican Yea

Official roll call →

Senate (1st Reprint)

Passed 21 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 8000
Democratic 13000
Total 21000
% of votes cast 100%0%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 Yea
Hansen, Ira Republican Yea
Krasner, Lisa Republican Yea
Rogich, Lori Republican Yea
Steinbeck, John C. Republican Yea
Stone, Jeff Republican Yea
Titus, Robin L. Republican Yea

Official roll call →

Subjects

veterans 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 SB 207?
SB 207 is sponsored by Stone, Jeff (Republican), Daly, Skip (Democratic), Neal, Dina (Democratic), Doñate, Fabian (Democratic), and Taylor, Angela D. (Democratic).
What is the current status of SB 207?
This bill has been enacted into law. Introduced February 18, 2025. Enacted.
Where can I track SB 207?
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