Nevada 2025 Regular Session Status: In Committee 3 D cosponsors

SB 250 — Revises provisions relating to health care records. (BDR 40-70)

Last action — (No further action taken.)

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

This bill died with 2025 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

559 added · 730 removed

Plain-language change summary

The recent amendments to Bill SB 250 clarify that electronic health records belong to the patient, giving them the right to access and share their records without incurring fees. The changes also eliminate the need for additional regulations to affirm ownership, streamlining the process for patients. This matters because it empowers individuals to manage their health information more easily and could enhance patient care by facilitating better communication between providers.

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S.B.
EXEMPT (Reprinted with amendments adopted on April 21, 2025) FIRST REPRINT S.B.
providing that the electronic health records of a patient are the property of the patient;
requiring the establishment of a statewide electronic health repository;
requiring the adoption of regulations to minimize the need for a patient to repeatedly provide certain information;
imposing certain requirements relating to the statewide electronic health repository;
providing that the health records of a patient are the property of a patient;
requiring the Director of the Department of Health and Human Services to compile certain reports;
Existing law prescribes various requirements governing health information health records and certain other electronic health information.
Existing law prescribes various requirements governing health information technology and the electronic maintenance, transmittal and exchange of electronic 439.597) Upon the request of a person who is authorized to request a copy of health records that are maintained electronically, existing law requires a custodian of health care records to electronically transmit a copy of the health records to any person or entity for a fee.
(NRS 439.581-onic 439.597) Upon the request of a person who is authorized to request a copy of health records that are maintained electronically, existing law requires a custodian of health care records to electronically transmit a copy of the health records to any person or entity for a fee.
(NRS 629.062) Section 15 of this bill provides that the health care records of a patient are the property of the patient, and section 3 of this bill requires a health care provider to allow a patient to:
(NRS 629.062) Section 3 of this bill provides that the electronic health records of a patient are the property of the patient and requires a health care provider to allow a patient to:
and (2) request that his or her with existing law.
and (2) request that his or her electronic health records be forwarded to any other person or entity in remove a requirement that the Director of the Department of Health and Humange to - *SB250_R1* – 2 – Services adopt regulations governing the ownership of electronic health records because section 15 establishes that such records are the property of the patient.
Section 8 of this bill makes a conforming change to remove ance requirement that the Director of the Department of Health and Human Services adopt regulations governing the ownership of electronic health records because section 3 establishes that such records are the property of the patient.
With certain exceptions, existing law requires a health care provider, health insurer, health insurance administrator and certain other entities to authorize a person to opt out of having his or her individually identifiable health information disclosed electronically to health care providers, insurers and certain other entities.
- *SB250* – 2 – insurer, health insurance administrator and certain other entities to authorize a person to opt out of having his or her individually identifiable health information disclosed electronically to health care providers, insurers and certain other entities.
(NRS 439.597) Section 10 of this bill requires those persons and entities to allow a identifiable health information, with similar exceptions.
(NRS 439.597) Section 10 of this bill requires those persons and entities to allow a patient to prohibit any person or entity from accessing his or her individually identifiable health information, with similar exceptions.
A health care provider, health insurer or health insurance sanctions.
A health care provider, health insurer or health insurance administrator that commits such a violation would also be subject to administrative sanctions.
(NRS 439.589, 439.5895, 449.167, 450B.215, 629.051, 680A.225,inistrative 683A.0891, 695C.329) Existing law requires the Director to adopt regulations that prescribe a framework for the electronic maintenance, transmittal and exchange of electronic health records, prescriptions, health-related information and electronic signatures.
(NRS 439.589, 439.5895, 449.167, 450B.215, 629.051, 680A.225, 683A.0891, 695C.329) Existing law requires the Director to adopt regulations that prescribe a framework for the electronic maintenance, transmittal and exchange of electronic Existing law requires state and local governmental entities, health care providerss.
Existing law requires state and local governmental entities, health care providers and insurers and certain related entities to maintain, transmit and exchange health information in accordance with that framework, with certain exceptions.
and insurers and certain related entities to maintain, transmit and exchange health information in accordance with that framework, with certain exceptions.
(NRS 439.589) Existing law establishes that physician group practices and other business fewer employees are not required to comply with those provisions until January 1, or 2030.
(NRS 439.589) Existing law establishes that physician group practices and other business entities organized for the purpose of practicing a health care profession with 20 or fewer employees are not required to comply with those provisions until January 1, 2030.
(Section 2.8 of chapter 278, Statutes of Nevada 2023, at page 1859) Section 4 of this bill requires the Director to:
(Section 2.8 of chapter 278, Statutes of Nevada 2023, at page 1859) Section minimize the need for a patient to repeatedly provide demographic information, information relating to his or her medical history and the list of medications that the patient is currently taking or has taken in the past.
(1) establish a statewide electronic health repository for storing the electronic health records of all patients in this State;
A health care provider who fails to comply with those regulations would be subject to administrative sanctions but would not be guilty of a misdemeanor.
and (2) adopt regulations to establish a standardized procedure for collecting information from patients and entering the information into the computerized system that serves as a platform for the repository.
(NRS 439.589, 439.5895, 449.167, 450B.215, 629.051) Sections 5-7, 9, 10, 12-14 and 16 of this bill make conforming changes to:
Section 2 of this bill defines the term “electronic health repository.” Sections 4 and 11 of this bill provide that electronic health records in the statewide electronic health repository are in this State that is not exempt from the requirement to maintain, transmit andider exchange electronic health records to:
(1) clarify the applicability of section 3 and certain provisions of existing law;
(1) integrate the system used by the health care provider for the maintenance, transmittal and exchange of health information with the statewide electronic health repository;
and (2) indicate the proper placement of section 3 in the Nevada the Director of the Department to publish and submit to the Governor and theequires Legislature a quarterly report concerning the progress of the Department toward implementing the provisions of this bill.
and (2) comply with the standardized procedure established by the Director for collecting patient information and entering patient information into the repository.
Section 16.5 also requires the Director or his or her designee to appear before the Joint Interim Standing Committee on Health and Human Services or the Legislative Commission upon request to provide information concerning the reports.
Section 15 of this bill makes a conforming change related to the requirement for electronic health care records to be integrated into the statewide electronic health repository.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 17 of this bill establishes that physician group practices and other business entities employees are not required to comply with the requirements of section 8 untilewer January 1, 2030.
A health care provider who fails to comply with those requirements would be subject to administrative sanctions but would not be guilty of a misdemeanor.
(NRS 439.589, 439.5895, 449.167, 450B.215, 629.051) Sections 5, 7, 9, 10, 12-14 and 16 of this bill make conforming changes to:
(1) clarify the applicability of sections 3 and 4 and certain provisions of existing law;
and (2) indicate the proper placement of sections 2-4 in the Nevada Revised Statutes.
- *SB250* – 3 – THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
“Electronic health repository” means an electronic system for the storage of electronic health records.
(Deleted by amendment.) Sec.
Sec.
The electronic health records of a patient are the property of the patient.
2.
- *SB250_R1* – 3 – 2.
1.
(Deleted by amendment.) Sec.
The Director shall:
(a) Establish a statewide electronic health repository for storing the electronic health records of all patients in this State which must include, without limitation, a computerized system to provide a centralized platform for maintaining, accessing, transmitting and exchanging electronic health records;
and (b) Adopt regulations to establish a standardized procedure for collecting information from patients and entering the information into the computerized system established pursuant to paragraph (a).
2.
The statewide electronic health repository and the computerized system established pursuant to subsection 1 must:
(a) Operate in a manner that:
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any regulations adopted pursuant thereto;of NRS 439.589 and (2) Allows for seamless sharing of information between the statewide electronic health repository and the systems used by health care providers for the maintenance, transmittal and exchange of health information;
and (3) Minimizes the need for a patient to repeatedly provide demographic information, information relating to his or her medical history and the list of medications that the patient is currently taking or has taken in the past;
and (b) Include search and compilation features to allow patients and health care providers to search and organize the information in an electronic health record, including, without limitation, - *SB250* – 4 – information concerning medical conditions, treatments and medications.
3.
The Director may contract with any person or entity as necessary to carry out the provisions of this section.
4.
Except as otherwise provided in this subsection and NRS 439.597, the electronic health records in the statewide electronic health repository are confidential and are not public records.
The Department may use deidentified, aggregated data from the statewide electronic health repository in the performance of its duties relating to public health.
Sec.
or (b) Director adopted pursuant to NRS 439.581 to 439.597, inclusive, and sections 2, 3 and 4 of this act, is guilty of a misdemeanor.
or (b) Director adopted pursuant to NRS 439.581 to 439.597, inclusive, and section 3 of this act, is guilty of a misdemeanor.
439.581 As used in NRS 439.581 to 439.597, inclusive, and sections 2, 3 and 4 of this act, unless the context otherwise requires, the words and terms defined in NRS 439.582 to 439.585, inclusive, and section 2 of this act have the meanings ascribed to them in those sections.
439.581 As used in NRS 439.581 to 439.597, inclusive, and section 3 of this act, unless the context otherwise requires, the words and terms defined in NRS 439.582 to 439.585, inclusive, have the meanings ascribed to them in those sections.
- *SB250* – 5 – 3.
3.
The Director may deny an application for certification or may suspend or revoke any certification issued pursuant to subsection 2 for failure to comply with the provisions of NRS 439.581 to 439.597, inclusive, and sections 2, 3 and 4 of this act or the regulations adopted pursuant thereto or any applicable federal or state law.
The Director may deny an application for certification or may suspend or revoke any certification issued pursuant to subsection 2 for failure to comply with the provisions of NRS 439.581 to 439.597, inclusive, and section 3 of this act or the - *SB250_R1* – 4 – regulations adopted pursuant thereto or any applicable federal or state law.
and (II) The interoperability of such networks and technologies in accordance with the applicable standards for the interoperability of Qualified Health Information Networks prescribed by the Office of the National Coordinator for Health - *SB250* – 6 – Information Technology of the United States Department of Health and Human Services;
and (II) The interoperability of such networks and technologies in accordance with the applicable standards for the interoperability of Qualified Health Information Networks prescribed by the Office of the National Coordinator for Health Information Technology of the United States Department of Health and Human Services;
(3) To maintain the confidentiality of electronic health records and health-related information, including, without limitation, standards to maintain the confidentiality of electronic health records relating to a child who has received health care services without the consent of a parent or guardian and which ensure that a child’s right to access such health care services is not impaired;
- *SB250_R1* – 5 – (3) To maintain the confidentiality of electronic health records and health-related information, including, without limitation, standards to maintain the confidentiality of electronic health records relating to a child who has received health care services without the consent of a parent or guardian and which ensure that a child’s right to access such health care services is not impaired;
- *SB250* – 7 – (a) Requirements for the creation, maintenance and transmittal of electronic health records;
(a) Requirements for the creation, maintenance and transmittal of electronic health records;
(b) Requirements for protecting confidentiality, including control over, access to and the collection, organization and maintenance of electronic health records, health-related information and individually identifiable health information;
(b) Requirements for protecting confidentiality, including control over, access to and the collection, organization and - *SB250_R1* – 6 – maintenance of electronic health records, health-related information and individually identifiable health information;
and (e) Any other requirements necessary to comply with all applicable federal laws relating to electronic health records, health- related information, health information exchanges and the security and confidentiality of such records and exchanges.
(e) Requirements to minimize the need for a patient to repeatedly provide demographic information, information relating to his or her medical history and the list of medications that the patient is currently taking or has taken in the past;
and [(e)] (f) Any other requirements necessary to comply with all applicable federal laws relating to electronic health records, health- related information, health information exchanges and the security and confidentiality of such records and exchanges.
Except as otherwise provided in subsections 5, 6 and 7 [, the] :
Except as otherwise provided in subsections 5, 6 and 7, the Department and the divisions thereof, other state and local governmental entities, health care providers, third parties, pharmacy benefit managers and other entities licensed or certified pursuant to title 57 of NRS shall maintain, transmit and exchange health information in accordance with the regulations adopted pursuant to this section, the provisions of NRS 439.581 to 439.597, inclusive, and section 3 of this act and any other regulations adopted pursuant thereto.
(a) The Department and the divisions thereof, other state and local governmental entities, health care providers, third parties, pharmacy benefit managers and other entities licensed or certified pursuant to title 57 of NRS shall maintain, transmit and exchange health information in accordance with the regulations adopted pursuant to this section, the provisions of NRS 439.581 to 439.597, inclusive, and sections 2, 3 and 4 of this act and any other regulations adopted pursuant thereto.
(b) Each health care provider in this State shall:
(1) Integrate the system used by the health care provider for the maintenance, transmittal and exchange of health information with the statewide electronic health repository established pursuant to section 4 of this act;
and (2) Use the procedure established pursuant to section 4 of this act when collecting information from patients and entering that information into the computerized system established pursuant to section 4 of this act.
§ 186(c)(5) is not required to but - *SB250* – 8 – may maintain, transmit and exchange electronic information in accordance with the regulations adopted pursuant to this section.
§ 186(c)(5) is not required to but may maintain, transmit and exchange electronic information in accordance with the regulations adopted pursuant to this section.
and (b) Obtaining such infrastructure is not reasonably practicable, including, without limitation, because the cost of such infrastructure would make it difficult for the health care provider to continue to operate.
and - *SB250_R1* – 7 – (b) Obtaining such infrastructure is not reasonably practicable, including, without limitation, because the cost of such infrastructure would make it difficult for the health care provider to continue to operate.
439.593 A health care provider who with reasonable care transmits, accesses, utilizes, discloses, relies upon or provides to a patient an apparently genuine electronic health record in accordance with NRS 439.581 to 439.597, inclusive, and sections 2, 3 and 4 of this act and the regulations adopted pursuant thereto is immune from civil or criminal liability for any decision concerning the provision of health care to a patient and any civil or criminal liability resulting from the provision of the record to a patient if:
439.593 A health care provider who with reasonable care transmits, accesses, utilizes, discloses, relies upon or provides to a patient an apparently genuine electronic health record in accordance with NRS 439.581 to 439.597, inclusive, and section 3 of this act and the regulations adopted pursuant thereto is immune from civil or criminal liability for any decision concerning the provision of health care to a patient and any civil or criminal liability resulting from the provision of the record to a patient if:
- *SB250* – 9 – (a) The Health Insurance Portability and Accountability Act of 1996, Public Law 104-191;
(a) The Health Insurance Portability and Accountability Act of 1996, Public Law 104-191;
and (b) NRS 439.581 to 439.597, inclusive, and sections 2, 3 and 4 of this act and the regulations adopted pursuant thereto, which govern the electronic transmission of such information, the covered entity is, for purposes of the electronic transmission, exempt from any state law that contains more stringent requirements or provisions concerning the privacy or confidentiality of individually identifiable health information.
and (b) NRS 439.581 to 439.597, inclusive, and section 3 of this act and the regulations adopted pursuant thereto, which govern the electronic transmission of such information, the covered entity is, for purposes of the electronic transmission, exempt from any state law that contains more stringent requirements or provisions concerning the privacy or confidentiality of individually identifiable health information.
A covered entity that makes individually identifiable health information available electronically pursuant to subsection 1 shall allow any person to opt out of having his or her individually identifiable health information disclosed electronically to other covered entities [,] or to prohibit any person or entity from accessing his or her individually identifiable health information, except:
A covered entity that makes individually identifiable health information available electronically pursuant to subsection 1 shall allow any person to opt out of having his or her individually - *SB250_R1* – 8 – identifiable health information disclosed electronically to other covered entities [,] or to prohibit any person or entity from accessing his or her individually identifiable health information, except:
NRS 239.010 is hereby amended to read as follows:
(Deleted by amendment.) Sec.
239.010 1.
Except as otherwise provided in this section and NRS 1.4683, 1.4687, 1A.110, 3.2203, 41.0397, 41.071, 49.095, 49.293, 62D.420, 62D.440, 62E.516, 62E.620, 62H.025, 62H.030, 62H.170, 62H.220, 62H.320, 75A.100, 75A.150, 76.160, 78.152, 80.113, 81.850, 82.183, 86.246, 86.54615, 87.515, 87.5413, 87A.200, 87A.580, 87A.640, 88.3355, 88.5927, 88.6067, 88A.345, 88A.7345, 89.045, 89.251, 90.730, 91.160, 116.757, 116A.270, 116B.880, 118B.026, 119.260, 119.265, 119.267, 119.280, 119A.280, 119A.653, 119A.677, 119B.370, 119B.382, 120A.640, 120A.690, 125.130, 125B.140, 126.141, 126.161, 126.163, 126.730, 127.007, 127.057, 127.130, 127.140, 127.2817, 128.090, 130.312, 130.712, 136.050, 159.044, 159A.044, 164.041, 172.075, 172.245, 176.01334, 176.01385, 176.015, 176.0625, 176.09129, 176.156, - *SB250* – 10 – 176A.630, 178.39801, 178.4715, 178.5691, 178.5717, 179.495, 179A.070, 179A.165, 179D.160, 180.600, 200.3771, 200.3772, 200.5095, 200.604, 202.3662, 205.4651, 209.392, 209.3923, 209.3925, 209.419, 209.429, 209.521, 211A.140, 213.010, 213.040, 213.095, 213.131, 217.105, 217.110, 217.464, 217.475, 218A.350, 218E.625, 218F.150, 218G.130, 218G.240, 218G.350, 218G.615, 224.240, 226.462, 226.796, 228.270, 228.450, 228.495, 228.570, 231.069, 231.1285, 231.1473, 232.1369, 233.190, 237.300, 239.0105, 239.0113, 239.014, 239B.026, 239B.030, 239B.040, 239B.050, 239C.140, 239C.210, 239C.230, 239C.250, 239C.270, 239C.420, 240.007, 241.020, 241.030, 241.039, 242.105, 244.264, 244.335, 247.540, 247.545, 247.550, 247.560, 250.087, 250.130, 250.140, 250.145, 250.150, 268.095, 268.0978, 268.490, 268.910, 269.174, 271A.105, 281.195, 281.805, 281A.350, 281A.680, 281A.685, 281A.750, 281A.755, 281A.780, 284.4068, 284.4086, 286.110, 286.118, 287.0438, 289.025, 289.080, 289.387, 289.830, 293.4855, 293.5002, 293.503, 293.504, 293.558, 293.5757, 293.870, 293.906, 293.908, 293.909, 293.910, 293B.135, 293D.510, 331.110, 332.061, 332.351, 333.333, 333.335, 338.070, 338.1379, 338.1593, 338.1725, 338.1727, 348.420, 349.597, 349.775, 353.205, 353A.049, 353A.085, 353A.100, 353C.240, 353D.250, 360.240, 360.247, 360.255, 360.755, 361.044, 361.2242, 361.610, 365.138, 366.160, 368A.180, 370.257, 370.327, 372A.080, 378.290, 378.300, 379.0075, 379.008, 379.1495, 385A.830, 385B.100, 387.626, 387.631, 388.1455, 388.259, 388.501, 388.503, 388.513, 388.750, 388A.247, 388A.249, 391.033, 391.035, 391.0365, 391.120, 391.925, 392.029, 392.147, 392.264, 392.271, 392.315, 392.317, 392.325, 392.327, 392.335, 392.850, 393.045, 394.167, 394.16975, 394.1698, 394.447, 394.460, 394.465, 396.1415, 396.1425, 396.143, 396.159, 396.3295, 396.405, 396.525, 396.535, 396.9685, 398A.115, 408.3885, 408.3886, 408.3888, 408.5484, 412.153, 414.280, 416.070, 422.2749, 422.305, 422A.342, 422A.350, 425.400, 427A.1236, 427A.872, 427A.940, 432.028, 432.205, 432B.175, 432B.280, 432B.290, 432B.4018, 432B.407, 432B.430, 432B.560, 432B.5902, 432C.140, 432C.150, 433.534, 433A.360, 439.4941, 439.4988, 439.5282, 439.840, 439.914, 439A.116, 439A.124, 439B.420, 439B.754, 439B.760, 439B.845, 440.170, 441A.195, 441A.220, 441A.230, 442.330, 442.395, 442.735, 442.774, 445A.665, 445B.570, 445B.7773, 449.209, 449.245, 449.4315, 449A.112, 450.140, 450B.188, 450B.805, 453.164, 453.720, 458.055, 458.280, 459.050, 459.3866, 459.555, 459.7056, 459.846, 463.120, 463.15993, 463.240, 463.3403, 463.3407, 463.790, 467.1005, 480.535, 480.545, 480.935, 480.940, 481.063, 481.091, 481.093, 482.170, 482.368, 482.5536, 483.340, 483.363, 483.575, 483.659, 483.800, 484A.469, 484B.830, 484B.833, - *SB250* – 11 – 484E.070, 485.316, 501.344, 503.452, 522.040, 534A.031, 561.285, 571.160, 584.655, 587.877, 598.0964, 598.098, 598A.110, 598A.420, 599B.090, 603.070, 603A.210, 604A.303, 604A.710, 604D.500, 604D.600, 612.265, 616B.012, 616B.015, 616B.315, 616B.350, 618.341, 618.425, 622.238, 622.310, 623.131, 623A.137, 624.110, 624.265, 624.327, 625.425, 625A.185, 628.418, 628B.230, 628B.760, 629.043, 629.047, 629.069, 630.133, 630.2671, 630.2672, 630.2673, 630.2687, 630.30665, 630.336, 630A.327, 630A.555, 631.332, 631.368, 632.121, 632.125, 632.3415, 632.3423, 632.405, 633.283, 633.301, 633.427, 633.4715, 633.4716, 633.4717, 633.524, 634.055, 634.1303, 634.214, 634A.169, 634A.185, 634B.730, 635.111, 635.158, 636.262, 636.342, 637.085, 637.145, 637B.192, 637B.288, 638.087, 638.089, 639.183, 639.2485, 639.570, 640.075, 640.152, 640A.185, 640A.220, 640B.405, 640B.730, 640C.580, 640C.600, 640C.620, 640C.745, 640C.760, 640D.135, 640D.190, 640E.225, 640E.340, 641.090, 641.221, 641.2215, 641A.191, 641A.217, 641A.262, 641B.170, 641B.281, 641B.282, 641C.455, 641C.760, 641D.260, 641D.320, 642.524, 643.189, 644A.870, 645.180, 645.625, 645A.050, 645A.082, 645B.060, 645B.092, 645C.220, 645C.225, 645D.130, 645D.135, 645G.510, 645H.320, 645H.330, 647.0945, 647.0947, 648.033, 648.197, 649.065, 649.067, 652.126, 652.228, 653.900, 654.110, 656.105, 657A.510, 661.115, 665.130, 665.133, 669.275, 669.285, 669A.310, 670B.680, 671.365, 671.415, 673.450, 673.480, 675.380, 676A.340, 676A.370, 677.243, 678A.470, 678C.710, 678C.800, 679B.122, 679B.124, 679B.152, 679B.159, 679B.190, 679B.285, 679B.690, 680A.270, 681A.440, 681B.260, 681B.410, 681B.540, 683A.0873, 685A.077, 686A.289, 686B.170, 686C.306, 687A.060, 687A.115, 687B.404, 687C.010, 688C.230, 688C.480, 688C.490, 689A.696, 692A.117, 692C.190, 692C.3507, 692C.3536, 692C.3538, 692C.354, 692C.420, 693A.480, 693A.615, 696B.550, 696C.120, 703.196, 704B.325, 706.1725, 706A.230, 710.159, 711.600, and section 4 of this act, sections 35, 38 and 41 of chapter 478, Statutes of Nevada 2011 and section 2 of chapter 391, Statutes of Nevada 2013 and unless otherwise declared by law to be confidential, all public books and public records of a governmental entity must be open at all times during office hours to inspection by any person, and may be fully copied or an abstract or memorandum may be prepared from those public books and public records.
Any such copies, abstracts or memoranda may be used to supply the general public with copies, abstracts or memoranda of the records or may be used in any other way to the advantage of the governmental entity or of the general public.
This section does not supersede or in any manner affect the federal laws governing copyrights or enlarge, - *SB250* – 12 – diminish or affect in any other manner the rights of a person in any written book or record which is copyrighted pursuant to federal law.
2.
A governmental entity may not reject a book or record which is copyrighted solely because it is copyrighted.
3.
A governmental entity that has legal custody or control of a public book or record shall not deny a request made pursuant to subsection 1 to inspect or copy or receive a copy of a public book or record on the basis that the requested public book or record contains information that is confidential if the governmental entity can redact, delete, conceal or separate, including, without limitation, electronically, the confidential information from the information included in the public book or record that is not otherwise confidential.
4.
If requested, a governmental entity shall provide a copy of a public record in an electronic format by means of an electronic medium.
Nothing in this subsection requires a governmental entity to provide a copy of a public record in an electronic format or by means of an electronic medium if:
(a) The public record:
(1) Was not created or prepared in an electronic format;
and (2) Is not available in an electronic format;
or (b) Providing the public record in an electronic format or by means of an electronic medium would:
(1) Give access to proprietary software;
or (2) Require the production of information that is confidential and that cannot be redacted, deleted, concealed or separated from information that is not otherwise confidential.
5.
An officer, employee or agent of a governmental entity who has legal custody or control of a public record:
(a) Shall not refuse to provide a copy of that public record in the medium that is requested because the officer, employee or agent has already prepared or would prefer to provide the copy in a different medium.
(b) Except as otherwise provided in NRS 239.030, shall, upon request, prepare the copy of the public record and shall not require the person who has requested the copy to prepare the copy himself or herself.
Sec.
(a) Adopt and carry into effect a system of group life, accident or health insurance, or any combination thereof, for the benefit of its officers and employees, and the dependents of officers and - *SB250* – 13 – employees who elect to accept the insurance and who, where necessary, have authorized the governing body to make deductions from their compensation for the payment of premiums on the insurance.
(a) Adopt and carry into effect a system of group life, accident or health insurance, or any combination thereof, for the benefit of its officers and employees, and the dependents of officers and employees who elect to accept the insurance and who, where necessary, have authorized the governing body to make deductions from their compensation for the payment of premiums on the insurance.
The money accumulated for this purpose through deductions from the compensation of officers and employees and contributions of the governing body must be maintained as an internal service fund as defined by NRS 354.543.
The money accumulated for this purpose through deductions from the - *SB250_R1* – 9 – compensation of officers and employees and contributions of the governing body must be maintained as an internal service fund as defined by NRS 354.543.
The provisions of NRS 439.581 to 439.597, inclusive, and sections 2, 3 and 4 of this act, 686A.135, 687B.352, 687B.408, 687B.692, 687B.723, 687B.725, 687B.805, 689B.030 to 689B.0317, inclusive, paragraphs (b) and (c) of subsection 1 of NRS 689B.0319, subsections 2, 4, 6 and 7 of NRS 689B.0319, 689B.033 to 689B.0369, inclusive, 689B.0375 to 689B.050, inclusive, 689B.0675, 689B.265, 689B.287 and 689B.500 apply to coverage provided pursuant to this paragraph, except that the provisions of NRS 689B.0378, 689B.03785 and 689B.500 only apply to coverage for active officers and employees of the governing body, or the dependents of such officers and employees.
The provisions of NRS 439.581 to 439.597, inclusive, and section 3 of this act, 686A.135, 687B.352, 687B.408, 687B.692, 687B.723, 687B.725, 687B.805, 689B.030 to 689B.0317, inclusive, paragraphs (b) and (c) of subsection 1 of NRS 689B.0319, subsections 2, 4, 6 and 7 of NRS 689B.0319, 689B.033 to 689B.0369, inclusive, 689B.0375 to 689B.050, inclusive, 689B.0675, 689B.265, 689B.287 and 689B.500 apply to coverage provided pursuant to this paragraph, except that the provisions of NRS 689B.0378, 689B.03785 and 689B.500 only apply to coverage for active officers and employees of the governing body, or the dependents of such officers and employees.
- *SB250* – 14 – 2.
2.
4.
- *SB250_R1* – 10 – 4.
287.04335 If the Board provides health insurance through a plan of self-insurance, it shall comply with the provisions of NRS 439.581 to 439.597, inclusive, and sections 2, 3 and 4 of this act, 686A.135, 687B.352, 687B.409, 687B.692, 687B.723, 687B.725, - *SB250* – 15 – 687B.805, 689B.0353, 689B.255, 695C.1723, 695G.150, 695G.155, 695G.160, 695G.162, 695G.1635, 695G.164, 695G.1645, 695G.1665, 695G.167, 695G.1675, 695G.170 to 695G.1712, inclusive, 695G.1714 to 695G.174, inclusive, 695G.176, 695G.177, 695G.200 to 695G.230, inclusive, 695G.241 to 695G.310, inclusive, 695G.405 and 695G.415, in the same manner as an insurer that is licensed pursuant to title 57 of NRS is required to comply with those provisions.
287.04335 If the Board provides health insurance through a plan of self-insurance, it shall comply with the provisions of NRS 439.581 to 439.597, inclusive, and section 3 of this act, 686A.135, 687B.352, 687B.409, 687B.692, 687B.723, 687B.725, 687B.805, 689B.0353, 689B.255, 695C.1723, 695G.150, 695G.155, 695G.160, 695G.162, 695G.1635, 695G.164, 695G.1645, 695G.1665, 695G.167, 695G.1675, 695G.170 to 695G.1712, inclusive, 695G.1714 to 695G.174, inclusive, 695G.176, 695G.177, 695G.200 to 695G.230, inclusive, 695G.241 to 695G.310, inclusive, 695G.405 and 695G.415, in the same manner as an insurer that is licensed pursuant to title 57 of NRS is required to comply with those provisions.
The provisions of NRS 603A.010 to 603A.290, inclusive, do not apply to the maintenance or transmittal of information in accordance with NRS 439.581 to 439.597, inclusive, and sections 2, 3 and 4 of this act, and the regulations adopted pursuant thereto.
The provisions of NRS 603A.010 to 603A.290, inclusive, do not apply to the maintenance or transmittal of information in accordance with NRS 439.581 to 439.597, inclusive, and section 3 of this act, and the regulations adopted pursuant thereto.
3.
- *SB250_R1* – 11 – 3.
(a) Must, except as otherwise provided in subsections 5 and 6 of NRS 439.589, be created, maintained, transmitted and exchanged electronically and integrated into the statewide electronic health repository established pursuant to section 4 of this act, as required by subsection 4 of NRS 439.589;
(a) Must, except as otherwise provided in subsections 5 and 6 of NRS 439.589, be created, maintained, transmitted and exchanged electronically as required by subsection 4 of NRS 439.589;
and (b) May be created, authenticated and stored in a health information exchange which meets the requirements of NRS 439.581 to 439.597, inclusive, and sections 2, 3 and 4 of this act and the regulations adopted pursuant thereto.
and (b) May be created, authenticated and stored in a health information exchange which meets the requirements of NRS 439.581 to 439.597, inclusive, and section 3 of this act and the regulations adopted pursuant thereto.
- *SB250* – 16 – 3.
3.
The health care records of a person who has attained the age of 23 years may be destroyed in accordance with this section for those records which have been retained for at least 5 years or for any longer period provided by federal law.
The health care - *SB250_R1* – 12 – records of a person who has attained the age of 23 years may be destroyed in accordance with this section for those records which have been retained for at least 5 years or for any longer period provided by federal law.
The health care records of a patient are the property of the patient.
9.
9.
[9.] 10.
The provisions of this section, except for the provisions of paragraph (a) of subsection 1 and subsection 8, do not apply to a pharmacist.
The provisions of this section, except for the provisions of paragraph (a) of subsection 1 and subsection [8,] 9, do not apply to a pharmacist.
10.
[10.] 11.
11.
[11.] 12.
- *SB250* – 17 – (a) “Health care licensing board” means:
(a) “Health care licensing board” means:
(a) Except as otherwise specifically provided by law, a law governing the creation and execution of wills, codicils or testamentary trusts;
- *SB250_R1* – 13 – (a) Except as otherwise specifically provided by law, a law governing the creation and execution of wills, codicils or testamentary trusts;
or (c) The provisions of NRS 439.581 to 439.597, inclusive, and sections 2, 3 and 4 of this act and the regulations adopted pursuant thereto.
or (c) The provisions of NRS 439.581 to 439.597, inclusive, and section 3 of this act and the regulations adopted pursuant thereto.
17.
16.5.
Notwithstanding the amendatory provisions of sections 8 and 15 of this act, physician group practices or other business entities organized for the purpose of practicing a health care profession with 20 or fewer employees, including, without limitation, sole proprietorships, are not required to comply with the provisions of subsection 4 of NRS 439.589, as amended by section 8 of this act, until January 1, 2030.
On or before April 30, 2026, July 31, 2026, October 31, 2026, and December 31, 2026, the Director of the Department of Health and Human Services shall:
2.
(a) Compile a report concerning the progress made by the Department toward implementing the provisions of this act.
As used in this section, “physician group practice” means any business entity organized for the purpose of the practice of medicine or osteopathic medicine by more than one physician.
The report must include, without limitation:
(1) A summary of the actions taken during the immediately preceding calendar quarter to implement the provisions of this act;
(2) Identification of any challenges encountered during the implementation of the provisions of this act and the strategies that the Department is using to address those challenges;
(3) A timeline of the dates that the Department has completed tasks necessary to implement the provisions of this act and the dates that the Department expects to complete such tasks that are yet to be completed;
(4) An assessment of the adequacy of resources allocated for implementing the provisions of this act, including, without limitation, money, staff and technology;
and (5) Any recommendations for legislation or administrative actions necessary to effectively implement the provisions of this act.
(b) Submit the report to the Governor and the Director of the Legislative Counsel Bureau for transmittal to:
(1) For the reports submitted on or before April 30, 2026, and July 31, 2026, the Joint Interim Standing Committee on Health and Human Services;
and (2) For the reports submitted on or before October 31, 2026, and December 31, 2026, the Legislative Commission and the 84th Session of the Legislature.
(c) Post the report on an Internet website maintained by the Department.
- *SB250_R1* – 14 – Services or his or her designee shall appear before the Joint Interim Standing Committee on Health and Human Services or the Legislative Commission upon request to provide information relating to any report submitted pursuant to this section.
17.
(Deleted by amendment.) Sec.
- *SB250* – 18 – 2.
2.
regulations and performing any other preliminary administrativey 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 preliminary administrative tasks that are necessary to carry out the provisions of this act;
H - *SB250*
H - *SB250_R1*
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Amendments

1 amendment

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Action History

  1. (No further action taken.)

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

  3. From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 353.) Notice of eligibility for exemption. Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.

  4. From printer. To committee.

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

Sponsors

Sponsorship breakdown

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1 sponsors · 2 co-sponsors · 64 not signed on

Sponsors (1)

Co-sponsors (2)

Not signed on (64)

64 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

healthcare health-insurance
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 250?
SB 250 is sponsored by Ohrenschall, James (Democratic), Lange, Roberta (Democratic), and Cruz-Crawford, Michelee "Shelly" (Democratic).
What is the current status of SB 250?
This bill died with 2025 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 250?
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